Sample Record

Owner Labs

  • CT QASI - Los Angeles Field Laboratory
  • CT - Southern Regional Laboratory

DIME Sample ID 2017-12-07-3

Project Information

Project IdentifiersProject ID: 7428
DEA: 07215944
EFIS: 0700001834
DIST-CO-RTE-PM07-LA-5-4.0/5.9
Award Date08/23/2012
Closeout Date07/02/2021
Work DescriptionRECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location DescriptionLOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/07/2012)

Sample Information

Sample Taken Date12/07/2017 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes45 CY in Girder G2 6 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerQA Inspector Telephone number of sampler951-258-8382
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOLDCASTLE PRECAST PERRIS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79 Structure unique identifierBridge No 50 3060 Girder G2 6
Structure nameSant Antonio Dr UC

Material Information

Material TypeConcrete The concrete mix design numberUV-273
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected57089
Concrete batch plantOnsite The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCastind Bed B1 Where the material sample would have been placed if not sampledCasting Bed B1 Girder G2 6
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-07-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/21/2017Matthew Clayton
Yes
12/21/2017