Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-05-14-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 05/14/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 05/14/2022 |
| Sample type | Acceptance | A brief description of the sample | 6"x12" LCBRS cylinder |
| The quantity of what the sample constitutes | 400 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arnold | Last name of sampler or witnessed by | Truong |
| Title of sampler | MREA | Telephone number of sampler | 2138084582 |
| Laboratory sample identification | 22-1164 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Flatiron Volumetric Trucks | Transportation Laboratory (TL) Number | 22-1164 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | FIW 0110-1 |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 3 |
| Concrete batch plant | Flatiron Volumetric Truck | The fabricator/manufacturer designation for the sample | FIW 0110-1 |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Roadway WB 210 |
| 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: 2022-05-14-22-1 CTM 521-June 2020 (Verified)