Sample Record

DIME Sample ID 2016-09-01-1

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout Date07/14/2022
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level1 (Verified on 06/02/2014)

Owner Lab

  • CT D07 - Santa Fe Springs Structures Construction Field Office 1

Sample Information

Sample Taken Date09/01/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing09/02/2016 Sample typeQuality Assurance
A brief description of the sampleTwo 6 X 12 Concrete Samples The quantity of what the sample constitutes2 6x12 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byChungkeun
Last name of sampler or witnessed byLee Title of samplerTransportation Engineer
Telephone number of sampler9492798412 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDistrict 7 Santa Fe Springs Lab
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberG3-15-3600-590
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collectedLoad 2
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMix Truck Chute 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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