Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-06-17-3

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 Date06/17/2015 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 testing06/22/2015
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byNone Last name of sampler or witnessed byNone
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification903-04 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameAssociated Transportation Laboratory (TL) Number185004
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number556300
The truck number from where the sample was collected273 The batch plant ticket number from where the sample was collectedNot Included
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 sampledSB I110 Slauson and MAnchester
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-17-3-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory07/15/2015Matthew Clayton
Yes
07/15/2015