Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-02-29-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994396 DEA: 07330304 EFIS: 0716000213 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-22.0/30.8 |
| Award Date | 10/09/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT CONCRETE BARRIER AND STRUCTURAL CONCRETE BARRIER SLAB. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.6 MILE EAST OF ROUTE 710/10 SEPARATION TO 0.3 MILE WEST OF ROUTE 10/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 02/29/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 02/29/2024 |
| Sample type | Acceptance | A brief description of the sample | Rapid set concrete beams |
| The quantity of what the sample constitutes | 10 yd3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Michelangelo | Last name of sampler or witnessed by | Sese |
| Title of sampler | TET | Telephone number of sampler | 310-345-6204 |
| Laboratory sample identification | 24-0376 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-72-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 8 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | 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: 2024-02-29-21-1 CTM 524-March 2013 (Verified)