Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-10-12-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date10/12/2015 Sample Unique Key4
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 testing10/15/2015
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 bygon Last name of sampler or witnessed bychoi
Title of samplerasr Telephone number of samplerUnknown
Laboratory sample identification889-12 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namenational Transportation Laboratory (TL) Number1012
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierBURBANK WESTERN CHANNEL SEC 17
Structure nameABUT 1 STA 164 10 TO 165 17

Material Information

Material TypeConcrete The concrete mix design numbers62578
The truck number from where the sample was collected475 The batch plant ticket number from where the sample was collected186833
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedshute 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
2015-10-12-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/09/2015Matthew Clayton
Yes
11/09/2015