Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-03-06-7

Project Information

Project IdentifiersProject ID: 214029
DEA: 07301104
EFIS: 0714000009
DIST-CO-RTE-PM07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Award Date06/03/2019
Closeout DateNot set
Work DescriptionRoadway ex, place jointed plain concrete pavement & concrete barrieres
Location DescriptionIn 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 Level1 (Verified on 06/25/2019)

Sample Information

Sample Taken Date03/06/2021 Sample Unique Key7
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 testing03/06/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes10 CY From where was the sample collectedJob Site
First name of sampler or witnessed byChad Last name of sampler or witnessed byChotibhongs
Title of samplerMREA Telephone number of sampler(213)817-0387
Laboratory sample identification21-0696 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson Ready Mix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRRM19097
The truck number from where the sample was collectedLoad 10 The batch plant ticket number from where the sample was collected5783583
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBobcat on site Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-06-7-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersChad ChotibhongsCT D07 - Material Lab, Unit 195303/13/2021Chad Chotibhongs
No
Info
2021-03-06-7-2CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteChad ChotibhongsCT D07 - Material Lab, Unit 195303/06/2021Chad Chotibhongs
No
Info