Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-10-14-55

Project Information

Project IdentifiersProject ID: 993484
DEA: 07325904
EFIS: 0716000091
DIST-CO-RTE-PM07-LA-5-87.4
Award Date02/17/2022
Closeout DateNot set
Work DescriptionSEISMIC RETROFIT OF BRIDGE, WIDEN
Location DescriptionIN LOS ANGELES COUNTY, NEAR KERN COUNTY LINE, AT THE TEJON PASS OVERCROSSING BRIDGE NO 53-1779
QA Service Level1 (Verified on 04/19/2022)

Sample Information

Sample Taken Date10/14/2022 Sample Unique Key55
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 testing10/24/2022
Sample typeQuality Assurance A brief description of the samplePCC cylinders
The quantity of what the sample constitutes1 day From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed byBaron
Title of samplerASR Telephone number of sampler
Laboratory sample identification22-0329 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons - Palmdale 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 numberCT800F254AS
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collectedNA
Concrete batch plantRobertsons Palmdale The fabricator/manufacturer designation for the sampleRobertsons Ready Mix
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledPaving Slope
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-14-55-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195311/11/2022Arnold Truong
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-10-14-55-1 CTM 521-June 2020