Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-09-20-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date09/20/2016 Sample Unique Key9
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 testing09/23/2016
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes8 From where was the sample collectedJob Site
First name of sampler or witnessed byHung Last name of sampler or witnessed byNgo
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) Number889-23F
Inspector Lot Number from the Transportation Laboratory (TL) Form889-23F Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberS72035
The truck number from where the sample was collected2002 The batch plant ticket number from where the sample was collected201566
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedshute Where the material sample would have been placed if not sampledBurbank Western Channel Precast Prestressed Deck Panels Group 27
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-09-20-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory09/23/2016Matthew Clayton
Yes
09/23/2016
2016-09-20-9-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory10/18/2016Matthew Clayton
Yes
10/18/2016
2016-09-20-9-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/01/2016Matthew Clayton
Yes
11/01/2016