Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2023-11-07-134
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994962 DEA: 07357304 EFIS: 0719000062 |
---|---|
DIST-CO-RTE-PM | 07-LA-5-6.6/13.1 |
Award Date | 04/27/2023 |
Closeout Date | Not set |
Work Description | REPLACE CONCRETE SLABS AND MEDIAN BARRIER, |
Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT |
QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
Sample Taken Date | 11/07/2023 | Sample Unique Key | 134 |
---|---|---|---|
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 | 11/05/2023 |
Sample type | Quality Assurance | A brief description of the sample | A set of 3 JPCP RSC beams |
The quantity of what the sample constitutes | 10 Cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Aleksey | Last name of sampler or witnessed by | Souglobov |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 23-1906 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | CTS-65-EHI |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Concrete from wheelbarrow | 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: 2023-11-07-134-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2023-11-07-134-2 CTM 557-June 2020 (Verified)