Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-04-24-57
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995085 DEA: 07322904 EFIS: 0716000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-27-0.0/18.6 |
| Award Date | 11/06/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE EXISTING AC PAVEMENT & HMA OVERLAY. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET |
| QA Service Level | 1 (Verified on 09/11/2023) |
Sample Information
| Sample Taken Date | 04/24/2024 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 | 04/24/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 6x12 LCBRS 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 | Dane | Last name of sampler or witnessed by | Trudeau |
| Title of sampler | Sequoia QC | Telephone number of sampler | |
| Laboratory sample identification | 24-0753 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | Transportation Laboratory (TL) Number | 42424 |
| 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-30-EHI (LCB-RS) |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Short load 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-24-57-1 CTM 521-June 2020 (Verified)