Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-01-14-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993162 DEA: 07319104 EFIS: 0716000017 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91-R11.8 |
| Award Date | 02/10/2022 |
| Closeout Date | 01/11/2024 |
| Work Description | ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR |
| QA Service Level | 1 (Verified on 11/30/2021) |
Sample Information
| Sample Taken Date | 01/14/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/15/2023 |
| Sample type | Acceptance | A brief description of the sample | JPCP-CYLINDERS @ 42 days |
| The quantity of what the sample constitutes | 130 cu. yd. | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Maquiran |
| Title of sampler | MREA | Telephone number of sampler | (213) 358-1518 |
| Laboratory sample identification | 23-0036 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | RVC | 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 |
|---|---|---|---|
| The truck number from where the sample was collected | 1509 | The batch plant ticket number from where the sample was collected | 7223350 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from TM into conveyor chute to 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-01-14-2-1 CTM 504-June 2010 (Verified)