Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-06-01-31

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date06/01/2022 Sample Unique Key31
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 testing06/02/2022
Sample typeAcceptance A brief description of the sample6x6x21 beams
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byNA
Title of samplerG3 Material tester Telephone number of sampler
Laboratory sample identification22-1291 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Transportation Laboratory (TL) NumberNA
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCTS-1-14
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plantSecurity Paving The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck chute 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
2022-06-01-31-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteRobert AchuelaCT D07 - Materials Field Laboratory, Unit 195306/08/2022Robert Achuela
Yes
06/09/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-06-01-31-1 CTM 524-March 2013 (Verified)