Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-05-17-78
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Project Information
| Project Identifiers | Project ID: 210687 DEA: 07316604 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-41.8/42.1, 41.8-42.1 |
| Award Date | 12/31/1969 |
| Closeout Date | 08/22/2018 |
| Work Description | INSTALL RSP TO PREVENT HIGH SURF FROM DESTROYING ROADWAY SUPPORT SLOPE, TRAVEL WAY |
| Location Description | IN LA,IN MALIBU 1MILE N/O TOPANGE CNY RD |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/17/2024 | Sample Unique Key | 78 |
|---|---|---|---|
| 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 | 05/17/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 6 X12 Concrete Cylinders |
| The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kristopher | Last name of sampler or witnessed by | Martinez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 24-1049 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
| 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 | 12622-LCB-1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 29 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | 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: 2024-05-17-78-1 CTM 557-June 2020 (Verified)