Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-05-14-84
Sample Details QR Code
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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 | 05/14/2024 | Sample Unique Key | 84 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/14/2024 | Sample type | Department Acceptance |
| A brief description of the sample | 3- 6X6X21 Rapid Set Concrete Beams | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Ron |
| Last name of sampler or witnessed by | Hernandez | Title of sampler | Sequoia QC |
| Telephone number of sampler | Laboratory sample identification | 24-0973 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Short Load Concrete | |
| Transportation Laboratory (TL) Number | 051424 | 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-65-EHI-JCPC |
|---|---|---|---|
| The truck number from where the sample was collected | 16 | 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: 2024-05-14-84-1 CTM 524-March 2013 (Verified)