Sample Record
DIME Sample ID 2023-08-15-44
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Project Information
| Project Identifiers | Project ID: 215456 DEA: 07293604 EFIS: 0713000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-14.3/15.8 |
| Award Date | 05/26/2021 |
| Closeout Date | 07/03/2025 |
| Work Description | CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS. |
| Location Description | LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET |
| QA Service Level | 1 (Verified on 07/07/2021) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 08/15/2023 | Sample Unique Key | 44 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/18/2023 | Sample type | Department Acceptance |
| 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 | James |
| Last name of sampler or witnessed by | Holloway | Title of sampler | Structure Representative |
| Telephone number of sampler | Laboratory sample identification | 23-377 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Ortiz Construction | |
| Transportation Laboratory (TL) Number | 081523 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | RW 808 | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1612109 |
|---|---|---|---|
| The truck number from where the sample was collected | 4 | The batch plant ticket number from where the sample was collected | 852993 |
| Concrete batch plant | Cemex Inglewood | 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: 2023-08-15-44-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-08-15-44-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-08-15-44-3 CTM 521-June 2020 (Verified)