Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-08-17-91
Project Information
Project Identifiers | Project ID: 993162 DEA: 07319104 EFIS: 0716000017 |
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DIST-CO-RTE-PM | 07-LA-91-R11.8 |
Award Date | 02/10/2022 |
Closeout Date | 01/11/2024 |
Work Description | ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP. |
Location Description | LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR |
QA Service Level | 1 (Verified on 11/30/2021) |
Sample Information
Sample Taken Date | 08/17/2022 | Sample Unique Key | 91 |
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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 | 08/18/2022 |
Sample type | Acceptance | A brief description of the sample | 6x12 JPCP cylinders |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Devin | Last name of sampler or witnessed by | Fuertey |
Title of sampler | G3 QC technician | Telephone number of sampler | |
Laboratory sample identification | 22-2151 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | RVC | Transportation Laboratory (TL) Number | 22-2150 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | G3-19-PCC-172 |
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The truck number from where the sample was collected | 7 | The batch plant ticket number from where the sample was collected | NA |
Concrete batch plant | RVC | The fabricator/manufacturer designation for the sample | NA |
A detailed description of where the material sample was collected | Skip loader | 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: 2022-08-17-91-1 CTM 521-June 2020 (Verified)