Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-10-02-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212908
DEA: 07300404
EFIS: 0713000435
DIST-CO-RTE-PM07-LA-101-1.5/29.1
Award Date02/21/2018
Closeout DateNot set
Work DescriptionSLOPE PROTECTION AND BMP CONSTRUCTION.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AND NEAR CALABASAS FROM 0.1 MILE SOUTH OF ROUTE 101/110 SEPARATION TO 0.1 MILE NORTH OF MUREAU ROAD OVERCROSSING
QA Service Level1 (Verified on 05/09/2018)

Sample Information

Sample Taken Date10/02/2019 Sample Unique Key14
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 testing10/04/2019
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 byADRIANA Last name of sampler or witnessed byPIMIENTA
Title of samplerASR Telephone number of sampler
Laboratory sample identification985-1002 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNATIONAL READY MIXED CONCRETE Transportation Laboratory (TL) Number191002
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namefwy median at us101 and Vermont

Material Information

Material TypeConcrete The concrete mix design numberS72500
The truck number from where the sample was collected20037 The batch plant ticket number from where the sample was collected224002
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePOWELL CONSTRUCTORS
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledfwy median at us101 and Vermont
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-02-14-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory10/30/2019Minh Pham
Yes
11/07/2019