Sample Record

Owner Lab

  • Surecast West

DIME Sample ID 2023-11-28-69

Project Information

Project IdentifiersProject ID: 993551
DEA: 07279124
EFIS: 0715000076
DIST-CO-RTE-PM07-LA-57-60-R4.3/R4.5
Award Date01/12/2023
Closeout DateNot set
Work DescriptionSTATE ROUTE 57 and 60 HIGHWAYS CONFLUENCE CHOKEPOINT RELIEF PROJECT PHASE II
Location DescriptionCITY of DIAMOND BAR and CITY of INDUSTRY LOS ANGELES COUNTY, CALIFORNIA
QA Service Level2 (Verified on 02/04/2022)

Sample Information

Sample Taken Date11/28/2023 Sample Unique Key69
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 testing01/05/2024
Sample typeQuality Control A brief description of the sampleTYPE II/V
The quantity of what the sample constitutes5.50 From where was the sample collectedJob Site
First name of sampler or witnessed byJOEY Last name of sampler or witnessed byBUCKLER
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX-REDLANDS 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 number1611831
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected31029216
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSAMPLEFROM WHEELBARROW 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
2023-11-28-69-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersCody Coppins, Surecast West01/05/2024Cody Coppins
Yes
01/31/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-11-28-69-1 CTM 521-June 2020 (Verified)