Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2020-10-03-16
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Project Information
| Project Identifiers | Project ID: 214029 DEA: 07301104 EFIS: 0714000009 |
|---|---|
| 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 | 10/03/2020 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 10/03/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete beams |
| 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 | |
| Laboratory sample identification | 20-3465 | 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 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | None | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Onsite with Bobcat | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-10-03-16-1 CTM 524-March 2013 (Verified)