Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-11-23-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-55-58 |
| Award Date | 02/18/2021 |
| Closeout Date | Not set |
| Work Description | TRANCAS CREEK BRIDGE REPLACEMENT |
| Location Description | IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027). |
| QA Service Level | 1 (Verified on 04/02/2021) |
Sample Information
| Sample Taken Date | 11/23/2022 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 11/28/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 4X8 PCC cylinders |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hamid | Last name of sampler or witnessed by | Boroomand |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 22-0358 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Ready Mix | Transportation Laboratory (TL) Number | None provided |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237SP |
|---|---|---|---|
| The truck number from where the sample was collected | 0458 | The batch plant ticket number from where the sample was collected | 6121508 |
| Concrete batch plant | Associated Ready Mix | 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: 2022-11-23-18-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-23-18-2 CTM 521-June 2020 (Verified)