Sample Record

Owner Labs

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

DIME Sample ID 2018-04-04-2

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date04/04/2018 Sample Unique Key2
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 sampleTwo 6 X 12 Concrete Cylinders
The quantity of what the sample constitutes16 CY in slab E3 F3 and J3 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerCT METS QA INSPECTOR Telephone number of sampler951 258 8382
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOldcastle, Perris Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierBridge No 53C2194
Structure nameFirestone Blvd

Material Information

Material TypeConcrete The concrete mix design numberUV-273-1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected57717
Concrete batch plantOnsite OCP Perris The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed A4 Where the material sample would have been placed if not sampledVoided Slabs E3 F3 and J3
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-04-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory04/11/2018Matthew Clayton
Yes
04/11/2018