Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-08-25-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212731
DEA: 07318004
EFIS: 0715000280
DIST-CO-RTE-PM07-LA-10-22.3/28.2
Award Date11/16/2017
Closeout Date06/16/2021
Work DescriptionTREAT BRIDGE DECK, CLOSURE POUR AND REPLACE JOINT SEALS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM FREMONT AVENUE UNDERCROSSING TO RIO HONDO62
QA Service Level1 (Verified on 03/21/2018)

Sample Information

Sample Taken Date08/25/2018 Sample Unique Key1
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 testing08/28/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byThomas Last name of sampler or witnessed byTong
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification982-0825 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCTS SHORT LOAD RAPID SET Transportation Laboratory (TL) Number20180825
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS
Structure name10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS

Material Information

Material TypeConcrete The concrete mix design numberCTS-72-EHI
The truck number from where the sample was collected16 The batch plant ticket number from where the sample was collectedna
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplespectrum
A detailed description of where the material sample was collectedLOAD 1 Where the material sample would have been placed if not sampled10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-08-25-1-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory08/30/2018Minh Pham
Yes
09/07/2018