Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2022-02-10-28

Sample is locked from editing. info

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 Date02/10/2022 Sample Unique Key28
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 testing02/11/2022
Sample typeAcceptance A brief description of the samplePCC cylinder Bridge deck
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAntonio Last name of sampler or witnessed byPicazo
Title of samplerAssistant Structure Representative Telephone number of sampler
Laboratory sample identification22-0034 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Transportation Laboratory (TL) Number22021001
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameBridge Number 53-C2295

Material Information

Material TypeConcrete The concrete mix design numberG3-17-STR-006F
The truck number from where the sample was collectedLoad 8 The batch plant ticket number from where the sample was collected8
Concrete batch plantSecurity Paving 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
2022-02-10-28-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold TruongCT D07 - Material Lab, Unit 195302/17/2022Robert Achuela
Yes
02/17/2022
2022-02-10-28-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold TruongCT D07 - Material Lab, Unit 195303/03/2022Robert Achuela
Yes
03/03/2022
2022-02-10-28-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold TruongCT D07 - Material Lab, Unit 195303/10/2022Robert Achuela
Yes
03/10/2022