Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-11-14-47
Project Information
Project Identifiers | Project ID: 993336 DEA: 07328804 EFIS: 0716000183 |
---|---|
DIST-CO-RTE-PM | 07-LA-5-R54.4/R54.8 |
Award Date | 12/08/2021 |
Closeout Date | 11/05/2024 |
Work Description | BUILDING WORK. |
Location Description | LOS ANGELES COUNTY IN SANTA CLARITA FROM NORTHBOUND OFF-RAMP TO NORTHBOUND ON-RAMP CASTAIC WEIGH STATION |
QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
Sample Taken Date | 11/14/2022 | Sample Unique Key | 47 |
---|---|---|---|
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 | 11/15/2022 |
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 | Marcus | Last name of sampler or witnessed by | Ionescus |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
Laboratory sample identification | 22-0357 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 221114 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | SC590B38 |
---|---|---|---|
The truck number from where the sample was collected | 1987 | The batch plant ticket number from where the sample was collected | 1030581 |
Concrete batch plant | Robertsons | 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: 2022-11-14-47-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-14-47-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-14-47-3 CTM 521-June 2020 (Verified)