Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-06-01-30

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date06/01/2022 Sample Unique Key30
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing06/02/2022
Sample typeDepartment Acceptance A brief description of the sample6x12 LCB cylinders
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byKevyn
Title of samplerG3 Material tester Telephone number of sampler
Laboratory sample identification22-1282 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Transportation Laboratory (TL) Number221282
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCTS-1-14
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected2
Concrete batch plantSecurity Paving The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-01-30-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersRobert Achuela, CT D07 - Materials Field Laboratory, Unit 195306/08/2022Robert Achuela
Yes
06/08/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-06-01-30-1 CTM 521-June 2020 (Verified)