Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2021-11-24-19

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS 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 Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date11/24/2021 Sample Unique Key19
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 testing11/25/2021
Sample typeAcceptance A brief description of the sample6x12 LCB cylinders
The quantity of what the sample constitutes40CY From where was the sample collectedSource
First name of sampler or witnessed byChad Last name of sampler or witnessed byChotibhongs
Title of samplerMREA Telephone number of sampler213-817-0387
Laboratory sample identification21-2847 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving batch plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG317LCB004
The truck number from where the sample was collected4 The batch plant ticket number from where the sample was collectedNA
Concrete batch plantSecurity Batch Plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLoader Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-24-19-1CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodChad ChotibhongsCT D07 - Materials Field Laboratory, Unit 195311/24/2021Chad Chotibhongs
No
Info
2021-11-24-19-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersChad ChotibhongsCT D07 - Materials Field Laboratory, Unit 195312/01/2021Chad Chotibhongs
No
Info
2021-11-24-19-4CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement ConcreteChad ChotibhongsCT D07 - Materials Field Laboratory, Unit 195311/24/2021Chad Chotibhongs
No
Info
2021-11-24-19-5CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteChad ChotibhongsCT D07 - Materials Field Laboratory, Unit 195311/24/2021Chad Chotibhongs
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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