Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-03-10-47
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214819 DEA: 07288304 EFIS: 0700021024 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60,60,164,210-Var |
| Award Date | 03/01/2021 |
| Closeout Date | 10/02/2023 |
| Work Description | STORM WATER MITIGATION |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/30/2021) |
Sample Information
| Sample Taken Date | 03/10/2022 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 03/10/2022 |
| Sample type | Acceptance | A brief description of the sample | 6X12 cylinders |
| The quantity of what the sample constitutes | na | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | LR | Last name of sampler or witnessed by | Collier |
| Title of sampler | TET | Telephone number of sampler | 14242327257 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | na | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | WB 210 Loc 11 |
Material Information
| Material Type | Concrete | The concrete mix design number | LCBSC270N31 |
|---|---|---|---|
| The truck number from where the sample was collected | 1507 | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | na | 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: 2022-03-10-47-1 CTM 521-June 2020 (Verified)