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Sample Record for 2015-03-06-1

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

Project Information

Project ID: 3959 DEA: 072159C4 EFIS: 0700000339 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-001.8/003.0
Work Description: CARMENITA INTERCHANGE IMPROVEMENT
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MAROCS, CA 90278
Resident Engineer: Peter M. Lee Structure Rep.: Bassem Kabbara

Sample Information

DIME Sample ID: 2015-03-06-1
TL Number from the TL Form: 148B
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/06/2015
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2015
The quantity of what the sample constitutes: 2 6x12 concrete cylinders
A brief description of the sample: 6X12 cylinders
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier: span 8 to 9 stem and soffit croc west pump
Structure name: Unknown
The fabricator/manufacturer/facility name: site

Material Information

The concrete mix design number: sm4009
The truck number from where the sample was collected: 64 and 157
The batch plant ticket number from where the sample was collected: 159439and 159546
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2015-03-06-1-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders03/11/201504/03/2015Matthew ClaytonCT - Southern Regional Laboratory28 day
2015-03-06-1-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders03/11/201504/17/2015Matthew ClaytonCT - Southern Regional Laboratory42 day 4cyls.