Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-12-11-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212319
DEA: 07286604
EFIS: 0700020900
DIST-CO-RTE-PM07-LA-1,91,405-0.1-4.0
Award Date02/22/2018
Closeout Date04/28/2021
Work DescriptionSHOPP PROGRAM: STORM WATER MITIGATIONS FOR LOS CERRITOS CHANNEL & ALAMITOS BAY WATERSHED IN LOS ANGELES COUNTY.
Location DescriptionON SR-22, SR-91 & I-405
QA Service Level1 (Verified on 04/28/2021)

Sample Information

Sample Taken Date12/11/2018 Sample Unique Key4
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 testing12/13/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byJuan Last name of sampler or witnessed byarias
Title of samplerTE Civil Telephone number of samplerUnknown
Laboratory sample identification990-5152 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Ready Mix Transportation Laboratory (TL) Number166351
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierwb 91 at lakewood off ramp
Structure namewb 91 at lakewood off ramp

Material Information

Material TypeConcrete The concrete mix design numbers29000LCB
The truck number from where the sample was collected20034 The batch plant ticket number from where the sample was collected232635
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleortiz enterizes inc
A detailed description of where the material sample was collectedat 20CY Where the material sample would have been placed if not sampledwb 91 at lakewood off ramp
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-12-11-4-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory12/18/2018Minh Pham
Yes
12/26/2018