Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-07-07-4

Project Information

Project IdentifiersProject ID: 209356
DEA: 07278204
EFIS: 0700000538
DIST-CO-RTE-PM07-LA-10,110,118,134,210,710-Var
Award Date04/18/2014
Closeout Date07/13/2016
Work DescriptionUPGRADE CURB RAMPS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 10/31/2014)

Sample Information

Sample Taken Date07/07/2015 Sample Unique Key4
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 testing07/10/2015
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byCardiel Last name of sampler or witnessed byBugarin
Title of samplerStructure Representative Telephone number of samplerUnknown
Laboratory sample identification912-01F Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Transportation Laboratory (TL) Number10001F
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier53 1748
Structure nameCentral Ave OC Curb Ramp on Bridge

Material Information

Material TypeConcrete The concrete mix design numberSC590B38
The truck number from where the sample was collected4813181 The batch plant ticket number from where the sample was collected9700275
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedTruck Where the material sample would have been placed if not sampledSouth East corner Curb Ramp
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-07-07-4-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory07/21/2015Matthew Clayton
Yes
07/21/2015
2015-07-07-4-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory08/04/2015Matthew Clayton
Yes
08/12/2015