Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-11-04-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993771 DEA: 07325204 EFIS: 0716000082 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R36.7/R37.1 |
| Award Date | 02/15/2022 |
| Closeout Date | 01/29/2024 |
| Work Description | San Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs |
| Location Description | Los Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING |
| QA Service Level | 1 (Verified on 04/21/2022) |
Sample Information
| Sample Taken Date | 11/04/2022 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 testing | 11/11/2022 |
| Sample type | Quality Assurance | A brief description of the sample | PCC cylinders |
| The quantity of what the sample constitutes | 1 Day | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Alvira |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 22-0341 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix | Transportation Laboratory (TL) Number | 07-325204-003 |
| 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 | S72500 |
|---|---|---|---|
| The truck number from where the sample was collected | 20132 | The batch plant ticket number from where the sample was collected | 647459 |
| Concrete batch plant | National Ready Mix Concrete Company | The fabricator/manufacturer designation for the sample | NATIONAL READY MIX |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | concrete barrier |
| 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: 2022-11-04-31-1 CTM 521-June 2012
DIME Test ID: 2022-11-04-31-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-04-31-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-04-31-4 CTM 521-June 2020 (Verified)