Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-06-04-10

Project Information

Project IdentifiersProject ID: 3951
DEA: 07202114
EFIS: 0700020869
DIST-CO-RTE-PM07-LA-710-17.2/26.4
Award Date04/04/2012
Closeout Date06/16/2021
Work DescriptionPAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location DescriptionLOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/27/2012)

Sample Information

Sample Taken Date06/04/2015 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 testing07/08/2015
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinder 6 x 12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byB Last name of sampler or witnessed byNgo
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDVulcan
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number145611
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberNOT PROVIDED
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedBarrier at Floral UC Where the material sample would have been placed if not sampledBarrier at Floral UC
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-04-10-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory07/02/2015Matthew Clayton
Yes
07/03/2015