Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-06-04-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | 04/03/2020 |
| Closeout Date | 06/06/2024 |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 06/04/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/04/2022 | Sample type | Department Acceptance |
| A brief description of the sample | JPCPRS | The quantity of what the sample constitutes | 10CY |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Chad |
| Last name of sampler or witnessed by | Chotibhongs | Title of sampler | MREA |
| Telephone number of sampler | 213-817-0387 | Laboratory sample identification | 22-1337 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Flatiron Plant - Paxton off-Ramp | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | FIW 0110-1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-04-17-1 CTM 521-June 2020 (Verified)