Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-08-20-2

Project Information

Project IdentifiersProject ID: 993626
DEA: 070W0804
EFIS: 0721000034
DIST-CO-RTE-PM07-LA-405-28.0/31.6
Award Date05/09/2022
Closeout Date07/03/2023
Work DescriptionINDIVIDUAL SLAB REPLACEMENTS.
Location DescriptionLOS ANGELES COUNTY IN CULVER CITY AND LOS ANGELES FROM VENICE BOULEVARD SEPARATION TO WILSHIRE BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date08/20/2022 Sample Unique Key2
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 testing08/20/2022
Sample typeDepartment Acceptance A brief description of the sampleISR-RSC Beams
The quantity of what the sample constitutes140 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMichelangelo Last name of sampler or witnessed bySese
Title of samplerTET Telephone number of sampler310-345-6204
Laboratory sample identification22-2141 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving - Florence Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG3-220
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into 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
2022-08-20-2-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteMichelangelo Sese, CT D07 - Materials Field Laboratory, Unit 195308/23/2022Michelangelo Sese
Yes
08/23/2022SB Rte. 405 @ Santa Monica Blvd. Off-Ramp

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-08-20-2-1 CTM 524-March 2013 (Verified)