Sample Record

Owner Lab

  • ZZEX DIME Development - AVS Testing External

DIME Sample ID 2014-04-10-22003895

Project Information

Project IdentifiersProject ID: 3811
DEA: 071219U4
EFIS: 0700001829
DIST-CO-RTE-PM07-LA-5,170-58.0/63.4,R32.3/R33.1
Award Date05/06/2010
Closeout Date08/25/2016
Work DescriptionConstruct HOV lanes, connectors and replace slabs.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM 0.1 KM NORTH OF SHELDON STREET OVERCROSSING TO ROUTE 5/118 SEPARATION AND ON ROUTE 170 FROM 0.1 KM SOUTH OF ARLETA/SHELDON UNDERCROSSING TO ROUTE 5/170 SEPARATION
QA Service Level1 (Verified on 08/16/2012)

Sample Information

Sample Taken Date04/10/2014 Sample Unique Key22003895
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 testing04/11/2014
Sample typeQuality Control A brief description of the samplePCC
The quantity of what the sample constitutes3 beams From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byHobbs
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design numberS10
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected1100
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedJob site Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments