Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2022-12-30-8

Project Information

Project IdentifiersProject ID: 214451
DEA: 07303704
EFIS: 0714000035
DIST-CO-RTE-PM07-LA-101-8.0/27.3
Award Date12/19/2019
Closeout Date05/07/2024
Work DescriptionREPLACE CONCRETE BARRIERS.
Location DescriptionTHE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 08/12/2020)

Sample Information

Sample Taken Date12/30/2022 Sample Unique Key8
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 testing12/31/2022
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders LCB
The quantity of what the sample constitutes10 Cubic Yards From where was the sample collectedJob Site
First name of sampler or witnessed byMarcus Last name of sampler or witnessed byMolina
Title of sampler Telephone number of sampler
Laboratory sample identification23-0021 Linked DIME Sample ID
The fabricator/manufacturer/facility namen/a 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 numberS29000
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected233155
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow 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
2022-12-30-8-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulian Calderon, Alta Vista Solutions - Whittier01/06/2023Treyvon GriffinBryant
Yes
01/10/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-12-30-8-1 CTM 521-June 2020 (Verified)