Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-03-19-3

Project Information

Project IdentifiersProject ID: 208900
DEA: 07265904
EFIS: 0700000497
DIST-CO-RTE-PM07-LA-101-1.6/10.4
Award Date12/31/1969
Closeout Date09/09/2015
Work DescriptionREPLACE BRIDGE RAILING.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM FOUR LEVEL STRUCTURE TO LANKERSHIM BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 02/27/2014)

Sample Information

Sample Taken Date03/19/2015 Sample Unique Key3
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 testing03/23/2015
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes8 CYLINDERS From where was the sample collectedJob Site
First name of sampler or witnessed byDAVID Last name of sampler or witnessed byBARON
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification885-19 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCollected at jobsite Transportation Laboratory (TL) Number150319
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameCAHUENGA BRIDGE

Material Information

Material TypeConcrete The concrete mix design number557237
The truck number from where the sample was collectedNOT PROVIDED The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedRIGHT SIDE CURB 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
2015-03-19-3-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory03/30/2015Matthew Clayton
Yes
03/30/2015