Sample Record

Owner Labs

  • Alta Vista Solutions - Whittier
  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-10-28-38

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date10/28/2022 Sample Unique Key38
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/29/2022
Sample typeQuality Assurance A brief description of the sample2 Concrete Cylinders - LCB
The quantity of what the sample constitutes10 Cubic Yards From where was the sample collectedJob Site
First name of sampler or witnessed byMarcus Last name of sampler or witnessed byMolina
Title of sampler Telephone number of sampler
Laboratory sample identification22-2943 Linked DIME Sample ID
The fabricator/manufacturer/facility namen/a Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSC27N31
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected7321886
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-28-38-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersJulian Calderon, CT D07 - Materials Field Laboratory, Unit 195311/04/2022Nathan Ogbasellasie
Yes
11/09/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-10-28-38-1 CTM 521-June 2020 (Verified)