Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-14-53
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993484 DEA: 07325904 EFIS: 0716000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-87.4 |
| Award Date | 02/17/2022 |
| Closeout Date | Not set |
| Work Description | SEISMIC RETROFIT OF BRIDGE, WIDEN |
| Location Description | IN LOS ANGELES COUNTY, NEAR KERN COUNTY LINE, AT THE TEJON PASS OVERCROSSING BRIDGE NO 53-1779 |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 10/14/2022 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 10/24/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 6X12 PCC cylinder |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Bar-on |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 22-0329 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons - Palmdale | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CT800F254AS |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Robertsons Palmdale | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | truck chute | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-14-53-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-14-53-2 CTM 521-June 2020 (Verified)