Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-05-12-6

Project Information

Project IdentifiersProject ID: 209916
DEA: 07259024
EFIS: 0713000046
DIST-CO-RTE-PM07-LA-5,10,91,110,134-Var
Award Date04/16/2015
Closeout DateNot set
Work DescriptionINSTALL AUSTIN VAULT SAND FILTERS AND BIOFILTRATION SWALE AND STRIPS
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/09/2015)

Sample Information

Sample Taken Date05/12/2015 Sample Unique Key6
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 testing05/15/2015
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 byC Last name of sampler or witnessed byTONG
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification903-58 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number0158
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierWAALL SECTIO AT AVSF 8 AND 9
Structure nameAVSF

Material Information

Material TypeConcrete The concrete mix design number556300
The truck number from where the sample was collected387 The batch plant ticket number from where the sample was collected652
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE 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
2015-05-12-6-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/26/2015Matthew Clayton
Yes
05/26/2015
2015-05-12-6-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/09/2015Matthew Clayton
Yes
06/09/2015