Sample Record
Owner Labs
- ZZEX DIME Development - AVS Testing External
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2016-12-14-1
Project Information
Project Identifiers | Project ID: 7428 DEA: 07215944 EFIS: 0700001834 |
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DIST-CO-RTE-PM | 07-LA-5-4.0/5.9 |
Award Date | 08/23/2012 |
Closeout Date | 07/02/2021 |
Work Description | RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES. |
Location Description | LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING |
QA Service Level | 1 (Verified on 11/07/2012) |
Sample Information
Sample Taken Date | 12/14/2016 | Sample Unique Key | 1 |
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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 testing | Not set |
Sample type | Verification | A brief description of the sample | concrete from the bridge deck |
The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | brett | Last name of sampler or witnessed by | soldano |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Teichert | 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 | 123456 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 34564564 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |