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Sample Record for 2021-09-28-46

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214671 DEA: 07303904 EFIS: 0714000044 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-31.2/37.2
Work Description: LANE REPLACEMENT
Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 16959 Knott Ave, LaMirada
Resident Engineer: Reda Karout Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-28-46
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Material Lab, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 09/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2021
The quantity of what the sample constitutes: 10CY
A brief description of the sample: JPCPRS
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

Material Information

The concrete mix design number: NA
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NA
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Discharge from truck into wheelbarrow
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 1

DIME Test ID: 2021-09-28-46-1
Test Method: CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete
Submitted By Organization: CT D07 - Material Lab, Unit 1953
Organization Address: 1940 S. Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email:
Organization Phone: (213) 817-0387
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.