Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-24-19
Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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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 | 11/24/2021 | Sample Unique Key | 19 |
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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 | 11/25/2021 |
Sample type | Department Acceptance | A brief description of the sample | 6x12 LCB cylinders |
The quantity of what the sample constitutes | 40CY | From where was the sample collected | Source |
First name of sampler or witnessed by | Chad | Last name of sampler or witnessed by | Chotibhongs |
Title of sampler | MREA | Telephone number of sampler | 213-817-0387 |
Laboratory sample identification | 21-2847 | 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 |
Material Information
Material Type | Concrete | The concrete mix design number | G317LCB004 |
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The truck number from where the sample was collected | 4 | The batch plant ticket number from where the sample was collected | NA |
Concrete batch plant | Security Batch Plant | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Loader | 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 |
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2021-11-24-19-1 | CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 11/24/2021 | Chad Chotibhongs | No | Info | ||
2021-11-24-19-3 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 12/01/2021 | Chad Chotibhongs | No | Info | ||
2021-11-24-19-4 | CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 11/24/2021 | Chad Chotibhongs | No | Info | ||
2021-11-24-19-5 | CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete | Chad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 1953 | 11/24/2021 | Chad Chotibhongs | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-11-24-19-1 CTM 504-June 2010
DIME Test ID: 2021-11-24-19-3 CTM 521-June 2020
DIME Test ID: 2021-11-24-19-4 CTM 533-June 2010
DIME Test ID: 2021-11-24-19-5 CTM 557-June 2020