Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2024-08-24-6

Project Information

Project IdentifiersProject ID: 994582
DEA: 073203U4
EFIS: 0722000071
DIST-CO-RTE-PM07-LA-91,605-R16.6/R16.8,R0.0/R10.4
Award Date06/20/2023
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionLOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING
QA Service Level1 (Verified on 07/12/2023)

Sample Information

Sample Taken Date08/24/2024 Sample Unique Key6
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 testing08/24/2024
Sample typeQuality Assurance A brief description of the sample3- 6X6X21 Rapid Set Concrete Beams
The quantity of what the sample constitutes200 yd3 From where was the sample collectedJob Site
First name of sampler or witnessed byRosauro Last name of sampler or witnessed byNogoy
Title of samplerTEC Telephone number of sampler2137939321
Laboratory sample identification24-2598 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRVC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCTS-65-EHI
The truck number from where the sample was collected18 The batch plant ticket number from where the sample was collected0
Concrete batch plant The fabricator/manufacturer designation for the sampleSLC
A detailed description of where the material sample was collectedEB 91 to SB 605 Connector Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2024-08-24-6-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteRosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 195308/27/202408/29/2024
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-08-24-6-1 CTM 524-March 2013