Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-04-08-67
Project Information
Project Identifiers | Project ID: 994351 DEA: 07322004 EFIS: 0716000053 |
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DIST-CO-RTE-PM | 07-LA-118-R11.0/R14.0 |
Award Date | 01/11/2023 |
Closeout Date | Not set |
Work Description | CONSTRUCT STORMWATER TREATMENT DEVICES. |
Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF ARLETA AVENUE UNDERCROSSING TO 0.1 MILE WEST OF ROUTE 118/210 SEPARATION |
QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
Sample Taken Date | 04/08/2024 | Sample Unique Key | 67 |
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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 | 04/15/2024 |
Sample type | Department Acceptance | A brief description of the sample | 6X12 PCC cylinder |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Arian | Last name of sampler or witnessed by | Angha |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
Laboratory sample identification | 24-054 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | 040824 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S63C451T1 |
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The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 713013 |
Concrete batch plant | National Ready Mix Concrete | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-04-08-67-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-08-67-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-08-67-3 CTM 521-June 2020 (Verified)