Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-05-19-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210737
DEA: 073X7114
EFIS: 0715000132
DIST-CO-RTE-PM07-LA-60,126-R7.4/R8.1
Award Date11/16/2015
Closeout Date06/16/2021
Work DescriptionREALIGN RAMPS, WIDEN BRIDGE, AND REPLACE RAMPS PAVEMENT.
Location DescriptionIN LA COUNTY, IN CITY OF MONTEBELLOAT PARAMOUNT BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 12/11/2015)

Sample Information

Sample Taken Date05/19/2016 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 testing05/20/2016
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 byJOHN Last name of sampler or witnessed byLEE
Title of samplerSR Telephone number of samplerUnknown
Laboratory sample identification929-35 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNATIONAL READY MIX Transportation Laboratory (TL) Number111835
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierROUTE 60
Structure name60 PARAMOUNT WB ON RAMP

Material Information

Material TypeConcrete The concrete mix design numberS72500
The truck number from where the sample was collected476 The batch plant ticket number from where the sample was collected11835
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-05-19-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory06/16/2016Matthew Clayton
Yes
06/16/2016