Sample Record
Owner Lab
- Surecast West
DIME Sample ID 2024-06-17-128
Project Information
Project Identifiers | Project ID: 993551 DEA: 07279124 EFIS: 0715000076 |
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DIST-CO-RTE-PM | 07-LA-57-60-R4.3/R4.5 |
Award Date | 01/12/2023 |
Closeout Date | Not set |
Work Description | STATE ROUTE 57 and 60 HIGHWAYS CONFLUENCE CHOKEPOINT RELIEF PROJECT PHASE II |
Location Description | CITY of DIAMOND BAR and CITY of INDUSTRY LOS ANGELES COUNTY, CALIFORNIA |
QA Service Level | 2 (Verified on 02/04/2022) |
Sample Information
Sample Taken Date | 06/17/2024 | Sample Unique Key | 128 |
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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 | 06/28/2024 |
Sample type | Quality Control | A brief description of the sample | TYPE II / V |
The quantity of what the sample constitutes | 11.00 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | JOEY | Last name of sampler or witnessed by | BUCKLER |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CEMEX-REDLANDS | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 1610974 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 31235149 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | CONCRETE SAMPLE FROM WHEELBARROW | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-06-17-128-1 CTM 521-June 2020 (Verified)