Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-03-20-1

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Sample Information

Sample Taken Date03/20/2022 Sample Unique Key1
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 testing03/20/2022
Sample typeDepartment Acceptance A brief description of the sampleJPCP-RSC Beams
The quantity of what the sample constitutes10CY From where was the sample collectedManufacturer
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 identification22-0514 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Plant - Baldwin Park 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 numberG3-21-PRS-237
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 46
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLoader Bucket at Security Paving Plant Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-20-1-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteChad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 195303/30/2022Chad Chotibhongs
Yes
03/30/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-03-20-1-1 CTM 524-March 2013 (Verified)