Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2023-01-21-14

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 Date01/21/2023 Sample Unique Key14
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 testing01/22/2023
Sample typeQuality Assurance A brief description of the sampleConcrete Beams JPCP-RSC
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 identification23-0053 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 numberG3-22-PRS-299
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected10567
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
2023-01-21-14-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteSamir El-Chammas, Alta Vista Solutions - Whittier01/31/2023Treyvon GriffinBryant

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments

DIME Test ID: 2023-01-21-14-1 CTM 524-March 2013 (Verified)