Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-09-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 11/09/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/09/2021 |
| Sample type | Department Acceptance | A brief description of the sample | LCB |
| The quantity of what the sample constitutes | 300 cy | From where was the sample collected | Source |
| First name of sampler or witnessed by | LR | Last name of sampler or witnessed by | Collier |
| Title of sampler | TET | Telephone number of sampler | 4242327257 |
| Laboratory sample identification | 21-2751 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Security Paving batch plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Center median rte 5 between Artesia and Valley View |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-17-LCB-004 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 230127 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SKIPLOADER TO WHEELBARROW | 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 |
|---|---|---|---|---|---|---|---|---|
| 2021-11-09-1-1 | CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method | LR Collier, CT D07 - Materials Field Laboratory, Unit 1953 | 11/09/2021 | LR Collier | No | Info | ||
| 2021-11-09-1-2 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | LR Collier, CT D07 - Materials Field Laboratory, Unit 1953 | 11/16/2021 | LR Collier | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-09-1-1 CTM 504-June 2010
DIME Test ID: 2021-11-09-1-2 CTM 521-June 2020