Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2022-11-18-56
Project Information
Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
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DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
Award Date | 02/05/2021 |
Closeout Date | Not set |
Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
Location Description | IN 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 Level | 1 (Verified on 03/24/2021) |
Sample Information
Sample Taken Date | 11/18/2022 | Sample Unique Key | 56 |
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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 testing | 11/18/2022 |
Sample type | Quality Assurance | A brief description of the sample | 3 Concrete Beams Regular |
The quantity of what the sample constitutes | 10 Cubic Yards | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Dominic | Last name of sampler or witnessed by | Montemayor |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 22-3073 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | n/a | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | LB060008 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 7363098 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Wheelbarrow | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-11-18-56-1 CTM 504-June 2010 (Verified)