Sample Record

DIME Sample ID 2016-11-09-1

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout Date07/14/2022
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS 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 Level1 (Verified on 06/02/2014)

Owner Lab

  • CT D07 - Santa Fe Springs Structures Construction Field Office 1

Sample Information

Sample Taken Date11/09/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing11/10/2016 Sample typeQuality Assurance
A brief description of the sampleStem wall The quantity of what the sample constitutes1
From where was the sample collectedJob Site First name of sampler or witnessed byArmando
Last name of sampler or witnessed byHernandez Title of samplerASR
Telephone number of sampler(949)279-8453 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCaltrans
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierStem wall Structure nameRW 314
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberG3-15-590-3600
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected037525
Concrete batch plantSPC onsite batch plant The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCollected in a contriner in the shoot Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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