Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-01-20-59
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Project Information
| Project Identifiers | Project ID: 215164 DEA: 07317304 EFIS: 0715000237 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60-0.0/R3.2,11.8/R21.5 |
| Award Date | Not set |
| Closeout Date | 08/01/2023 |
| Work Description | UPGRADE EXISTING OVERHEAD AND ROADSIDE SIGN PANELS. |
| Location Description | LOS 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 Level | 1 (Verified on 02/18/2021) |
Sample Information
| Sample Taken Date | 01/20/2022 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 01/24/2022 |
| Sample type | Acceptance | A brief description of the sample | PCC cylinders CIDH Piles |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rick | Last name of sampler or witnessed by | Jensen |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 22-0019 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated | Transportation Laboratory (TL) Number | 21082502 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SL590330 |
|---|---|---|---|
| The truck number from where the sample was collected | LOAD 1 | The batch plant ticket number from where the sample was collected | 6799092 |
| Concrete batch plant | Associated | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | |
| 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: 2022-01-20-59-1 CTM 521-June 2020 (Verified)