Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-03-06-7
Project Information
Project Identifiers | Project ID: 214029 DEA: 07301104 EFIS: 0714000009 |
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DIST-CO-RTE-PM | 07-LA-60,710-710-R2.8/11.8, 24.1/25.1 |
Award Date | 06/03/2019 |
Closeout Date | 10/17/2023 |
Work Description | Roadway ex, place jointed plain concrete pavement & concrete barrieres |
Location Description | In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation. |
QA Service Level | 1 (Verified on 06/25/2019) |
Sample Information
Sample Taken Date | 03/06/2021 | Sample Unique Key | 7 |
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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 testing | 03/06/2021 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 10 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Chad | Last name of sampler or witnessed by | Chotibhongs |
Title of sampler | MREA | Telephone number of sampler | (213)817-0387 |
Laboratory sample identification | 21-0696 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertson Ready Mix | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | RRM19097 |
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The truck number from where the sample was collected | Load 10 | The batch plant ticket number from where the sample was collected | 5783583 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Bobcat on site | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2021-03-06-7-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 03/13/2021 | Chad Chotibhongs | No | Info | ||
2021-03-06-7-2 | CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 03/06/2021 | Chad Chotibhongs | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-03-06-7-1 CTM 521-June 2020
DIME Test ID: 2021-03-06-7-2 CTM 518-June 2010