Sample Record

Owner Lab

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

DIME Sample ID 2016-10-07-1

Sample is locked from editing. info

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 Date10/07/2016 Sample Unique Key1
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 testing10/08/2016
Sample typeQuality Assurance A brief description of the sampleRW 314 footing
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed byArmando Hernandez Last name of sampler or witnessed byHernandez
Title of samplerASR Telephone number of sampler949-279-8453
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSPC Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier53E0213
Structure nameRW 314

Material Information

Material TypeConcrete The concrete mix design numberG3-15-3600-590
The truck number from where the sample was collectedload 18 The batch plant ticket number from where the sample was collected37129
Concrete batch plantSPC onsite batch plant The fabricator/manufacturer designation for the sampleon site batch plant
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledRW Footing
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-10-07-1-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersTuan NguyenCT D07 - Field Laboratory11/03/2016Arnold Truong
Yes
11/06/2016