Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-29-7
Project Information
Project Identifiers | Project ID: 993771 DEA: 07325204 EFIS: 0716000082 |
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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 | 10/29/2022 | Sample Unique Key | 7 |
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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 | 10/31/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4X8 PCC cylinders |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Samar | Last name of sampler or witnessed by | Saad |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
Laboratory sample identification | 22-0339 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | National Ready Mix | Transportation Laboratory (TL) Number | 07-325204-005 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S72500 |
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The truck number from where the sample was collected | 20121 | The batch plant ticket number from where the sample was collected | 647025 |
Concrete batch plant | National Ready Mix | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-29-7-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-29-7-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-29-7-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-29-7-4 CTM 521-June 2020 (Verified)