Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-05-03-33
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214649 DEA: 07316004 EFIS: 0715000194 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-14-60.70 |
| Award Date | 02/07/2023 |
| Closeout Date | Not set |
| Work Description | REHABILITATION FOR THE ON/OFF RAMPS AND ADJACENT SHOULDERS. UPGRADING METAL BEAM GUARDRAILS, AC DIKES, SIGN PANELS, CURB RAMPS, TRAFFIC LOOPS DETECTORS, AND SOME OTHER HIGHWAY APPURTENANCES. |
| Location Description | ROUTE 14 FROM PALMDALE BLVD TO KERN COUNTRY LINE. |
| QA Service Level | 1 (Verified on 01/29/2020) |
Sample Information
| Sample Taken Date | 05/03/2024 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 05/06/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 6X12 PCC cylinders |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hossein | Last name of sampler or witnessed by | Sabbagh |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 24-074 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | Transportation Laboratory (TL) Number | 050324 |
| 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-72-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 8 | 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: 2024-05-03-33-1 CTM 521-June 2020
DIME Test ID: 2024-05-03-33-2 CTM 521-June 2020 (Verified)