Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-06-01-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date04/14/2014
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date06/01/2016 Sample Unique Key8
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 testing06/03/2016
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 bySAL Last name of sampler or witnessed byVALDOVINOS
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-50 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHOLLIDAY Transportation Laboratory (TL) Number1250
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier01M W OF PUENTE AVE UC TO 02M E OF HOLLENBECK ST UC
Structure nameSW 1805 STA 811 79 TO 813 38

Material Information

Material TypeConcrete The concrete mix design numberCM5854
The truck number from where the sample was collectedNP The batch plant ticket number from where the sample was collectedNP
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
2016-06-01-8-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory06/29/2016Matthew Clayton
Yes
06/29/2016