Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2024-09-19-66

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date09/19/2024 Sample Unique Key66
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 testing08/28/2024
Sample typeQuality Assurance A brief description of the sampleJPCP 3 beams
The quantity of what the sample constitutes10 cubic yards From where was the sample collectedJob Site
First name of sampler or witnessed byAleksey Last name of sampler or witnessed bySouglobov
Title of sampler Telephone number of sampler
Laboratory sample identification24-2632 Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRRM24015
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected9
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow 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 TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-09-19-66-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteAleksey Souglobov, Alta Vista Solutions - Whittier09/25/2024SoCal Reports
Yes
09/27/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-09-19-66-1 CTM 523-May 2020 (Verified)