Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2025-01-21-35
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Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN 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 Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 01/21/2025 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 01/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 51 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fernando | Last name of sampler or witnessed by | Carranza |
| Title of sampler | Materials Tester | Telephone number of sampler | 2132384209 |
| Laboratory sample identification | Linked DIME Sample ID | 25-0272 | |
| The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM22111 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Jobsite | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-01-21-35-1 CTM 521-June 2020 (Verified)