Sample Record

DIME Sample ID 2022-06-18-5

Project Information

Project IdentifiersProject ID: 214493
DEA: 07311704
EFIS: 0715000013
DIST-CO-RTE-PM07-LA-134-0.0/R13.3
Award Date04/16/2020
Closeout Date07/09/2024
Work DescriptionCONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710
QA Service Level1 (Verified on 04/15/2020)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date06/18/2022 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing06/18/2022 Sample typeDepartment Acceptance
A brief description of the sampleISR-RSC The quantity of what the sample constitutes200 cu. yd.
From where was the sample collectedJob Site First name of sampler or witnessed byChad
Last name of sampler or witnessed byChotibhongs Title of samplerMREA
Telephone number of sampler213-817-0387 Laboratory sample identification22-1484
Linked DIME Sample ID The fabricator/manufacturer/facility namePeterson Chase
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number2010-007
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedVolumetric Truck at 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2022-06-18-5-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteChad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 195306/21/202206/21/2022
Yes
06/21/2022Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-06-18-5-1 CTM 524-March 2013 (Verified)