Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2022-11-05-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
Award DateNot set
Closeout DateNot set
Work DescriptionPADRE JUAN REHAB
Location DescriptionVEN 101
QA Service Level1 (Verified on 02/26/2021)

Sample Information

Sample Taken Date11/05/2022 Sample Unique Key18
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 testing11/06/2022
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders JPCP
The quantity of what the sample constitutes10 Cubic Yards From where was the sample collectedJob Site
First name of sampler or witnessed byHarrison Last name of sampler or witnessed byKain
Title of sampler Telephone number of sampler
Laboratory sample identification22-3010 Linked DIME Sample ID
The fabricator/manufacturer/facility namen/a 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 numberG3-21-PCC-249R
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected9812
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-05-18-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersNathan Ogbasellasie, Alta Vista Solutions - Whittier12/17/2022Treyvon GriffinBryant
2022-11-05-18-2CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodHarrison Kain, Alta Vista Solutions - Whittier11/05/2022Treyvon GriffinBryant

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2022-11-05-18-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-05-18-2 CTM 504-June 2010 (Verified)