Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-06-18-6

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Sample Information

Sample Taken Date06/18/2022 Sample Unique Key6
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 testing06/18/2022
Sample typeDepartment Acceptance A brief description of the sample6x6x21 beams
The quantity of what the sample constitutes130 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byCody Last name of sampler or witnessed byCuevas
Title of samplerG3 QC Telephone number of sampler
Laboratory sample identification22-1462 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving batch plant Transportation Laboratory (TL) Number061822
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG3-21-PRS-237
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantSecurity Paving Durbin The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSKIP LOADER TO WHEELBARROW 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
2022-06-18-6-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteRobert Achuela, CT D07 - Materials Field Laboratory, Unit 195306/28/2022Robert Achuela
Yes
06/29/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-06-18-6-1 CTM 524-March 2013 (Verified)