Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-05-14
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214920 DEA: 073W8704 EFIS: 0717000118 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-46.9/50.4 |
| Award Date | 06/09/2020 |
| Closeout Date | 07/03/2023 |
| Work Description | PERFORM SLURRY SEAL, REPLACE AC SURFACING AND INDIVIDUAL SLABS. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR MALIBU FROM MALIBU LAGOON BRIDGE TO SOLISTICE CANYON CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/07/2021) |
Sample Information
| Sample Taken Date | 11/05/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 11/05/2021 |
| Sample type | Acceptance | A brief description of the sample | Trial batch at contractor's yard |
| The quantity of what the sample constitutes | 7.38 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sopheak | Last name of sampler or witnessed by | Chong |
| Title of sampler | TE | Telephone number of sampler | 12138170174 |
| Laboratory sample identification | 21-2698 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Dreambuilders | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 21-2698 | |
| Structure name | Trial Slab |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 15 | The batch plant ticket number from where the sample was collected | 15 |
| Concrete batch plant | Short load concrete | The fabricator/manufacturer designation for the sample | Dreambuilders |
| A detailed description of where the material sample was collected | 500 Porter Way Placentia CA 92870 | Where the material sample would have been placed if not sampled | Job site |
| From Lot No. | 1 | Bag Lot No. | 1 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2021-11-05-14-1 | CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete | Sopheak Chong, CT D07 - Materials Field Laboratory, Unit 1953 | 11/08/2021 | Sopheak Chong | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-05-14-1 CTM 524-March 2013