Sample Record
Owner Lab
- Bethlehem Construction, Incorporated
DIME Sample ID 2022-09-10-10
Project Information
Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
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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 | 09/10/2022 | Sample Unique Key | 10 |
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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 | 09/10/2022 |
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 | 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 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0010143 | |
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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-10-10-1 ASTM C39-18 (Verified)