Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-06-28-98
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
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DIST-CO-RTE-PM | 07-LA-605-20.2/26 |
Award Date | 04/12/2023 |
Closeout Date | Not set |
Work Description | INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC |
Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION |
QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
Sample Taken Date | 06/28/2024 | Sample Unique Key | 98 |
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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 testing | 06/28/2024 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Source |
First name of sampler or witnessed by | Edmond | Last name of sampler or witnessed by | Jabbour |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 24-1676-1677-1678-1679 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | N/A | 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 | CTS-30-EHI |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Load 1 | |
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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
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)