Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-01-20-59

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215164
DEA: 07317304
EFIS: 0715000237
DIST-CO-RTE-PM07-LA-60-0.0/R3.2,11.8/R21.5
Award DateNot set
Closeout DateNot set
Work DescriptionUPGRADE EXISTING OVERHEAD AND ROADSIDE SIGN PANELS.
Location DescriptionLOS ANGELS COUNTY FROM 0.4 MILE WEST OF ROUTE 5/60 SEPARATION TO ROUTE 60/710 SEPARATION AND FROM ROUTE 60/605 SEPARATION TO FAIRWAY DRIVE UNDERCROSSING
QA Service Level1 (Verified on 02/18/2021)

Sample Information

Sample Taken Date01/20/2022 Sample Unique Key59
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 testing01/24/2022
Sample typeAcceptance A brief description of the samplePCC cylinders CIDH Piles
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byRick Last name of sampler or witnessed byJensen
Title of samplerAssistant Structure Representative Telephone number of sampler
Laboratory sample identification22-0019 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Transportation Laboratory (TL) Number21082502
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSL590330
The truck number from where the sample was collectedLOAD 1 The batch plant ticket number from where the sample was collected6799092
Concrete batch plantAssociated The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute 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
2022-01-20-59-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold TruongCT D07 - Materials Field Laboratory, Unit 195302/17/2022Robert Achuela
Yes
02/17/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-01-20-59-1 CTM 521-June 2020 (Verified)