Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-12-14-36
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993781 DEA: 07322404 EFIS: 0716000055 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-134-R12.6,R12.9 |
| Award Date | 08/03/2022 |
| Closeout Date | Not set |
| Work Description | REMOVE BRIDGE RAILING AND PLACE CONCRETE BARRIER. |
| Location Description | LOS ANGELES COUNTY IN PASADENA AT ARROYO SECO BRIDGE AND AT THE ORANGE GROVE BOULEVARD ON-RAMP OVERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 12/14/2023 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 12/15/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 4X8 PCC cylinders |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Vantine |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 23-627 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 07-322404-02 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1610837 |
|---|---|---|---|
| The truck number from where the sample was collected | 10076176 | The batch plant ticket number from where the sample was collected | 20803 |
| Concrete batch plant | Cemex | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-12-14-36-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-12-14-36-2 CTM 521-June 2020 (Verified)