Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-05-07-3

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date05/07/2015 Sample Unique Key3
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 testing05/08/2015
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byANTONIO Last name of sampler or witnessed byPICAZO
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification86-2 P Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number146312 P
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierA 17 P12
Structure nameOCEAN BLVD to SR 47 IN LB

Material Information

Material TypeConcrete The concrete mix design number804725WHX
The truck number from where the sample was collected423 The batch plant ticket number from where the sample was collected19001834
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
2015-05-07-3-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/04/2015Matthew Clayton
Yes
06/04/2015