Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2020-10-03-16

Sample is locked from editing. info

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 Date10/03/2020 Sample Unique Key16
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 testing10/03/2020
Sample typeQuality Assurance A brief description of the sampleConcrete beams
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
Laboratory sample identification20-3465 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 collected The batch plant ticket number from where the sample was collectedNone
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedOnsite with Bobcat 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
2020-10-03-16-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteChad ChotibhongsCT D07 - Material Lab, Unit 195310/13/2020Chad Chotibhongs
Yes
08/21/2021