Sample Record
DIME Sample ID 2023-09-29-19
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Project Information
| Project Identifiers | Project ID: 994780 DEA: 070W3304 EFIS: 0721000265 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-19.5/29.5 |
| Award Date | 03/13/2023 |
| Closeout Date | 03/14/2025 |
| Work Description | LOS ANGELES COUNTY FROM EVERGREEN AVENUE PEDESTRIAN OVERCROSSING IN LOS ANGELES TO VALLEY BOULEVARD UNDERCROSSING IN EL MONTE |
| Location Description | DIGOUTS, SLURRY SEAL, COLD PLANE OVERLAY, |
| QA Service Level | 1 (Verified on 06/07/2023) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 09/29/2023 | Sample Unique Key | 19 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/29/2023 | Sample type | Department Acceptance |
| A brief description of the sample | 6X6X21 Rapid Set Concrete Beams | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Dominique |
| Last name of sampler or witnessed by | Mcgee | Title of sampler | g3 quality technician |
| Telephone number of sampler | Laboratory sample identification | 23-1511 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | SLC | |
| Transportation Laboratory (TL) Number | NA | 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 | CTS 65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 11 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | SLC | 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: 2023-09-29-19-1 CTM 524-March 2013 (Verified)