Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-04-21-7

Project Information

Project IdentifiersProject ID: 7427
DEA: 07215934
EFIS: 0700001833
DIST-CO-RTE-PM07-LA-5-2.4/4.0
Award Date08/14/2012
Closeout Date02/20/2020
Work DescriptionWiden and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
QA Service Level1 (Verified on 11/26/2012)

Sample Information

Sample Taken Date04/21/2015 Sample Unique Key7
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 testing04/28/2015
Sample typeVerification A brief description of the sample6X12
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byALI Last name of sampler or witnessed byJENABZADEH
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification856-51 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number199551
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameAVSF WALLS

Material Information

Material TypeConcrete The concrete mix design numberS63061
The truck number from where the sample was collected420 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 collectedTRUCK 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
2015-04-21-7-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/19/2015Matthew Clayton
Yes
05/19/2015
2015-04-21-7-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/02/2015Matthew Clayton
Yes
06/02/2015