Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-10-13-58

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date10/13/2022 Sample Unique Key58
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 testing10/14/2022
Sample typeQuality Assurance A brief description of the sampleJPCP
The quantity of what the sample constitutes1300 cu. yd. From where was the sample collectedJob Site
First name of sampler or witnessed byPHILIP B Last name of sampler or witnessed byMAQUIRAN
Title of samplerMREA Telephone number of sampler2133581518
Laboratory sample identification22-2742 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron 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 numberJPCP-3215-06
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected13
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedFrom transit mixer chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-13-58-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcretePhillip MaquiranCT D07 - Materials Field Laboratory, Unit 195311/10/2022Phillip Maquiran
Yes
11/12/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-10-13-58-1 CTM 523-May 2020 (Verified)