Sample Record
DIME Sample ID 2022-07-29-40
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 07/29/2022 | Sample Unique Key | 40 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/01/2022 | Sample type | Department Acceptance |
| A brief description of the sample | 6X12 PCC cylinder | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Nelson |
| Last name of sampler or witnessed by | Pereira | Title of sampler | Assistant Structure Representative |
| Telephone number of sampler | Laboratory sample identification | 22-0216 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Robertson's Ready Mix | |
| Transportation Laboratory (TL) Number | 850569 | 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 | SC590B39 |
|---|---|---|---|
| The truck number from where the sample was collected | 1666 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | truck chute | 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: 2022-07-29-40-1 CTM 521-June 2020 (Verified)