Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-06-06-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209732
DEA: 072881U4
EFIS: 0714000085
DIST-CO-RTE-PM07-LA-210-R16.1/R25.8
Award Date02/06/2015
Closeout Date02/18/2020
Work DescriptionCONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS.
Location DescriptionLOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date06/06/2016 Sample Unique Key1
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 testing06/08/2016
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 byGIZACHEW Last name of sampler or witnessed byABAYNEH
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification927-6Q Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNATIONAL READY MIX Transportation Laboratory (TL) Number6Q
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier210 FWY DUNSMORE AVE UC MED BARRIER
Structure namePENNSYLVAIN AVE UC BR No 53 2310 PM 16 77

Material Information

Material TypeConcrete The concrete mix design numberS58522
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected97162
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 1 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
2016-06-06-1-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory07/04/2016Matthew Clayton
Yes
07/05/2016