Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-07-20-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date04/14/2014
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date07/20/2017 Sample Unique Key3
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 testing07/21/2017
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byLISANDRO Last name of sampler or witnessed byGOMEZ
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-238 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHolliday Rock Transportation Laboratory (TL) Number101107238
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierPUENTE AVE UC WIDEN LEFT AND RIGHT BRIDGE DECK POUR
Structure namePUENTE AVE UC WIDEN LEFT AND RIGHT BRIDGE DECK POUR

Material Information

Material TypeConcrete The concrete mix design numberCM5848
The truck number from where the sample was collected601 The batch plant ticket number from where the sample was collected101107238
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK Where the material sample would have been placed if not sampledPUENTE AVE UC WIDEN LEFT AND RIGHT BRIDGE DECK POUR
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-07-20-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory08/17/2017Matthew Clayton
Yes
08/17/2017
2017-07-20-3-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory08/31/2017Jose Guzman
Yes
08/31/2017