Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-02-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | Not set |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 11/02/2021 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | Acceptance | A brief description of the sample | Concrete from sign |
| The quantity of what the sample constitutes | 2500 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Omid | Last name of sampler or witnessed by | Khazari |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 21-0408 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons ready mix | Transportation Laboratory (TL) Number | 21110201 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Sign 053-1 |
Material Information
| Material Type | Concrete | The concrete mix design number | SC675839 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | wheelborrow | 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 |
|---|---|---|---|---|---|---|---|---|
| 2021-11-02-19-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Arnold Truong, CT D07 - Materials Field Laboratory, Unit 1953 | 11/09/2021 | Robert Achuela | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-02-19-1 CTM 521-June 2020