Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-03-06-1

Project Information

Project IdentifiersProject ID: 3959
DEA: 072159C4
EFIS: 0700000339
DIST-CO-RTE-PM07-LA-5-001.8/003.0
Award Date08/19/2011
Closeout Date08/16/2018
Work DescriptionCARMENITA INTERCHANGE IMPROVEMENT
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date03/06/2015 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 testing03/11/2015
Sample typeQuality Control A brief description of the sample6X12 cylinders
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed bycharles Last name of sampler or witnessed byleong
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namesite Transportation Laboratory (TL) Number148B
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierspan 8 to 9 stem and soffit croc west pump
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numbersm4009
The truck number from where the sample was collected64 and 157 The batch plant ticket number from where the sample was collected159439and 159546
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.