Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-06-21-63

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date06/21/2022 Sample Unique Key63
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 testing06/22/2022
Sample typeDepartment Acceptance A brief description of the sample6x6x21 beams
The quantity of what the sample constitutes1000 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 identification22-1500 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron Batch Plant - EB210 Paxton Offramp 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 numberJPCP-3215-06
The truck number from where the sample was collected0 The batch plant ticket number from where the sample was collected69
Concrete batch plant The fabricator/manufacturer designation for the sample6x6x21 Concrete beams
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
2022-06-21-63-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteRosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 195307/19/2022Rosauro Nogoy
Yes
07/29/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-06-21-63-1 CTM 523-May 2020 (Verified)