Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-06-19-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Sample Information

Sample Taken Date06/19/2022 Sample Unique Key4
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 testing06/19/2022
Sample typeDepartment Acceptance A brief description of the sample6x6x21 beams
The quantity of what the sample constitutes500 yd3 From where was the sample collectedJob Site
First name of sampler or witnessed byRosauro Last name of sampler or witnessed byNogoy
Title of samplerTEC Telephone number of sampler2137939321
Laboratory sample identification22-1468 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Irwindale 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 numberG3-21-PRS-237
The truck number from where the sample was collected0 The batch plant ticket number from where the sample was collected293
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedFrom loader to wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-19-4-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteRosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 195305/29/2022Rosauro Nogoy
Yes
07/15/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-06-19-4-1 CTM 524-March 2013 (Verified)