Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-10-12-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212827
DEA: 07296404
EFIS: 0713000031
DIST-CO-RTE-PM07-LA-5,10,60-16.1/17.0,18.1/18.4,0.4/R1.0
Award Date01/18/2018
Closeout Date09/03/2020
Work DescriptionPLACE ROCK BLANKET, MINOR CONCRETE, AND WEED CONTROL MAT.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM EUCLID AVENUE UNDERCROSSING TO SEVENTH STREET OVERCROSSING AND ON ROUTE 10 FROM LA RIVER TO ROUTE 5 AND ON ROUTE 60 FROM SOTO STREET UNDERCROSSING TO EAST OF EUCLID AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/14/2019)

Sample Information

Sample Taken Date10/12/2019 Sample Unique Key3
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 testing10/14/2019
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 byZafar Last name of sampler or witnessed byInam
Title of samplerASR Telephone number of sampler
Laboratory sample identification1006-54 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Ready Mixed Concrete Transportation Laboratory (TL) Number136454
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCB 4 60 SD BARRIER

Material Information

Material TypeConcrete The concrete mix design number556300
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleNA
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampledCB 4 60 SD BARRIER
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-12-3-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory10/19/2019Minh Pham
No
Info
2019-10-12-3-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/09/2019Matthew Clayton
Yes
11/21/2019