Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-09-28-32
Project Information
Project Identifiers | Project ID: 214697 DEA: 07307104 EFIS: 0714000213 |
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DIST-CO-RTE-PM | 07-LA-101-32.8 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | CONSTRUCT BRIDGE. |
Location Description | LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 09/28/2024 | Sample Unique Key | 32 |
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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 | 10/01/2024 |
Sample type | Acceptance | A brief description of the sample | 4X8 PCC cylinders |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ana | Last name of sampler or witnessed by | Trujillo |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
Laboratory sample identification | 24-269 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | 092824 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S85C440T1 |
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The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | 732445 |
Concrete batch plant | National Ready Mix Concrete Company | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-09-28-32-1 CTM 521-June 2020 (Verified)