Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-11-04-31

Project Information

Project IdentifiersProject ID: 993771
DEA: 07325204
EFIS: 0716000082
DIST-CO-RTE-PM07-LA-210-R36.7/R37.1
Award Date02/15/2022
Closeout Date01/29/2024
Work DescriptionSan Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs
Location DescriptionLos Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING
QA Service Level1 (Verified on 04/21/2022)

Sample Information

Sample Taken Date11/04/2022 Sample Unique Key31
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 testing11/11/2022
Sample typeQuality Assurance A brief description of the samplePCC cylinders
The quantity of what the sample constitutes1 Day From where was the sample collectedJob Site
First name of sampler or witnessed byDaniel Last name of sampler or witnessed byAlvira
Title of samplerASR Telephone number of sampler
Laboratory sample identification22-0341 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Ready Mix Transportation Laboratory (TL) Number07-325204-003
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberS72500
The truck number from where the sample was collected20132 The batch plant ticket number from where the sample was collected647459
Concrete batch plantNational Ready Mix Concrete Company The fabricator/manufacturer designation for the sampleNATIONAL READY MIX
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledconcrete barrier
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-04-31-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195311/11/2022Arnold Truong
No
Info
2022-11-04-31-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195311/18/2022Robert Achuela
Yes
11/18/2022
2022-11-04-31-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195311/25/2022Robert Achuela
Yes
12/02/2022
2022-11-04-31-4CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195312/02/2022Robert Achuela
Yes
12/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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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)