Sample Record

Owner Lab

  • CT D07 - Santa Fe Springs Structures Construction Field Laboratory Office 1

DIME Sample ID 2016-09-01-1

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date09/01/2016 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/02/2016
Sample typeQuality Assurance A brief description of the sampleTwo 6 X 12 Concrete Samples
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byChungkeun Last name of sampler or witnessed byLee
Title of samplerTransportation Engineer Telephone number of sampler9492798412
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDistrict 7 Santa Fe Springs Lab 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 numberG3-15-3600-590
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collectedLoad 2
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMix Truck Chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.