Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-09-02-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209680
DEA: 07295504
EFIS: 0713000014
DIST-CO-RTE-PM07-LA-101-1.8/8.4
Award Date09/15/2014
Closeout Date06/22/2017
Work DescriptionREPLACE PCC PAVEMENT AND COLD PLANE AND OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM BEAUDRY AVENUE UNDERCROSSING TO 0.4 MILE NORTH OF PILGRIMAGE OVERCROSSING
QA Service Level1 (Verified on 08/01/2014)

Sample Information

Sample Taken Date09/02/2015 Sample Unique Key9
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 testing09/04/2015
Sample typeQuality Control A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byMARC Last name of sampler or witnessed byTALAVERA
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler562 449 800
Laboratory sample identification914-01 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) NumberL86 PCPH 001
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierREPLACE PCC PAVEMENT COLD PLANE
Structure nameBED B2C FORM 11

Material Information

Material TypeConcrete The concrete mix design numberRRM 14062
The truck number from where the sample was collected14 The batch plant ticket number from where the sample was collected1138155
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK MIXER Where the material sample would have been placed if not sampledUnknown
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-09-02-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory09/16/2015Matthew Clayton
Yes
09/16/2015