Sample Record
Owner Lab
- CT D07 - Santa Fe Springs Structures Construction Field Office 1
DIME Sample ID 2016-10-07-1
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Project Information
| Project Identifiers | Project ID: 209141 DEA: 07215954 EFIS: 0700001835 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-0.0/7.6 |
| Award Date | 04/24/2014 |
| Closeout Date | 07/14/2022 |
| Work Description | WIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES |
| Location Description | LOS 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 Level | 1 (Verified on 06/02/2014) |
Sample Information
| Sample Taken Date | 10/07/2016 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/08/2016 |
| Sample type | Quality Assurance | A brief description of the sample | RW 314 footing |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Armando Hernandez | Last name of sampler or witnessed by | Hernandez |
| Title of sampler | ASR | Telephone number of sampler | 949-279-8453 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | SPC | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 53E0213 |
| Structure name | RW 314 |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-15-3600-590 |
|---|---|---|---|
| The truck number from where the sample was collected | load 18 | The batch plant ticket number from where the sample was collected | 37129 |
| Concrete batch plant | SPC onsite batch plant | The fabricator/manufacturer designation for the sample | on site batch plant |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | RW Footing |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-10-07-1-1 CTM 521-November 2014 (Verified)