Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2023-06-13-82

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date06/13/2023 Sample Unique Key82
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 testing06/14/2023
Sample typeQuality Assurance A brief description of the sample3 Concrete Beams JPCP
The quantity of what the sample constitutes10 Cubic Yards From where was the sample collectedJob Site
First name of sampler or witnessed byManuel Last name of sampler or witnessed byUy
Title of sampler Telephone number of sampler
Laboratory sample identification23-0830 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 numberLB060008
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected7757360
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
2023-06-13-82-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteNathan Ogbasellasie, Alta Vista Solutions - Whittier07/11/2023Treyvon GriffinBryant
Yes
07/14/2023
2023-06-13-82-2CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodManuel Uy, Alta Vista Solutions - Whittier06/13/2023Treyvon GriffinBryant
Yes
07/14/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-06-13-82-1 CTM 523-May 2020 (Verified)
DIME Test ID: 2023-06-13-82-2 CTM 504-June 2010 (Verified)