Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-07-23-8

Project Information

Project IdentifiersProject ID: 993418
DEA: 07324404
EFIS: 0716000077
DIST-CO-RTE-PM07-LA-22-0.0/1.5
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH FROM ROUTE 1 TO SAN GABRIEL RIVER UNDERCROSSING
QA Service Level1 (Verified on 12/06/2021)

Sample Information

Sample Taken Date07/23/2022 Sample Unique Key8
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 testing07/23/2022
Sample typeDepartment Acceptance A brief description of the sampleJPCPRS
The quantity of what the sample constitutes60 CY From where was the sample collectedJob Site
First name of sampler or witnessed byChad Last name of sampler or witnessed byChotibhongs
Title of samplerMREA Telephone number of sampler213-817-0387
Laboratory sample identification22-1888 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA 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 numberNA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedcollected from chute to Wheel Barrow 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
2022-07-23-8-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteChad Chotibhongs, CT D07 - Materials Field Laboratory, Unit 195308/02/2022Chad Chotibhongs
Yes
08/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-07-23-8-1 CTM 524-March 2013 (Verified)