Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-06-16-44
Project Information
Project Identifiers | Project ID: 214451 DEA: 07303704 EFIS: 0714000035 |
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DIST-CO-RTE-PM | 07-LA-101-8.0/27.3 |
Award Date | 12/19/2019 |
Closeout Date | Not set |
Work Description | REPLACE CONCRETE BARRIERS. |
Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING |
QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
Sample Taken Date | 06/16/2023 | Sample Unique Key | 44 |
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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 | 06/17/2023 |
Sample type | Acceptance | A brief description of the sample | 6x12 LCB cylinders |
The quantity of what the sample constitutes | 20 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jacinto | Last name of sampler or witnessed by | Villanueva |
Title of sampler | TEC | Telephone number of sampler | |
Laboratory sample identification | 23-0855 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | OHLA | Transportation Laboratory (TL) Number | 061623 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S29000 |
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The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
Concrete batch plant | OHLA | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | truck chute | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-16-44-1 CTM 521-June 2020 (Verified)