Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-04-30-33

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date04/30/2022 Sample Unique Key33
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 testing05/01/2022
Sample typeDepartment Acceptance A brief description of the sampleJPCP-RSC Beams
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byArnold Last name of sampler or witnessed byTruong
Title of samplerMREA Telephone number of sampler2138084582
Laboratory sample identification22-1002 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron Plant 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 number3215-JPCPRSC-12
The truck number from where the sample was collected3 The batch plant ticket number from where the sample was collected2
Concrete batch plantFlatiron Batch Plant The fabricator/manufacturer designation for the sample3215-JPCPRSC-12
A detailed description of where the material sample was collectedLoader Bucket at Flatiron Batch Plant Where the material sample would have been placed if not sampledroadway
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-30-33-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteArnold Truong, CT D07 - Materials Field Laboratory, Unit 195305/10/2022Arnold Truong
Yes
05/11/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-04-30-33-1 CTM 524-March 2013 (Verified)