Sample Record

Owner Lab

  • Alta Vista Solutions - Whittier

DIME Sample ID 2024-06-28-98

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 994966
DEA: 073255U4
EFIS: 0722000129
DIST-CO-RTE-PM07-LA-605-20.2/26
Award Date04/12/2023
Closeout DateNot set
Work DescriptionINDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION
QA Service Level1 (Verified on 07/13/2023)

Sample Information

Sample Taken Date06/28/2024 Sample Unique Key98
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 testing06/28/2024
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes10 cubic yards From where was the sample collectedSource
First name of sampler or witnessed byEdmond Last name of sampler or witnessed byJabbour
Title of sampler Telephone number of sampler
Laboratory sample identification24-1676-1677-1678-1679 Linked DIME Sample ID
The fabricator/manufacturer/facility nameN/A 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 numberCTS-30-EHI
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-06-28-98-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersEdmond Jabbour, Alta Vista Solutions - Whittier07/06/2024SoCal Reports
Yes
08/09/2024Log #'s - 24/-1677-1678-1679
2024-06-28-98-2CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteEdmond Jabbour, Alta Vista Solutions - Whittier06/28/2024SoCal Reports
Yes
08/09/2024Log # 24-1676

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-06-28-98-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-06-28-98-2 CTM 557-June 2020 (Verified)