Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-04-14-10

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 Date04/14/2015 Sample Unique Key10
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 testing04/20/2015
Sample typeQuality Control 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 byROY Last name of sampler or witnessed byAUER
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification856-50 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number199550
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierI5 SEGMENT3 PROJ
Structure nameSTA 191 00 TO 194 13 RC1

Material Information

Material TypeConcrete The concrete mix design numberS72036
The truck number from where the sample was collectedLOAD 3 The batch plant ticket number from where the sample was collected161595
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
2015-04-14-10-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory04/06/2015Matthew Clayton
Yes
05/12/2015CHANGED 10 DAY BREAK FOR 6 DAY BREAK AS PER RON FUENTES.
2015-04-14-10-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/12/2015Matthew Clayton
Yes
05/12/2015