Sample Record
Owner Lab
- Bethlehem Construction, Incorporated
DIME Sample ID 2022-08-01-57
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-55-58 |
| Award Date | 02/18/2021 |
| Closeout Date | Not set |
| Work Description | TRANCAS CREEK BRIDGE REPLACEMENT |
| Location Description | IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027). |
| QA Service Level | 1 (Verified on 04/02/2021) |
Sample Information
| Sample Taken Date | 08/01/2022 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 testing | 08/01/2022 |
| Sample type | Quality Control | A brief description of the sample | Voided Slab |
| The quantity of what the sample constitutes | 24CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alejandro | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Quality Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bethlehem Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC-ASH-32_3 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0009639 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | MIDDLE OF THE LOAD | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||