Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-02-03-1
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Project Information
| Project Identifiers | Project ID: 215299 DEA: 07260804 EFIS: 0712000104 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,405-16.6/30.1,4.8/8.7 |
| Award Date | 01/29/2021 |
| Closeout Date | 03/05/2024 |
| Work Description | CONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/05/2021) |
Sample Information
| Sample Taken Date | 02/03/2022 | 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 | 02/03/2022 |
| Sample type | Acceptance | A brief description of the sample | Concrete |
| The quantity of what the sample constitutes | 10 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rosauro | Last name of sampler or witnessed by | Nogoy |
| Title of sampler | TEC | Telephone number of sampler | 2137939321 |
| Laboratory sample identification | 22-0197 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Ready Mix Concrete | 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 | 556300 |
|---|---|---|---|
| The truck number from where the sample was collected | 600 | The batch plant ticket number from where the sample was collected | 3 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Chute discharge into wheel barrow | Where the material sample would have been placed if not sampled | Access Road AVSF Location 134 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-02-03-1-2 CTM 504-June 2010 (Verified)