Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-08-07-110
Project Information
Project Identifiers | Project ID: 993387 DEA: 07323404 EFIS: 0716000064 |
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DIST-CO-RTE-PM | 07-LA-5-R59.5/R67.9 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT. |
Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING |
QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
Sample Taken Date | 08/07/2024 | Sample Unique Key | 110 |
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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 | 08/07/2024 |
Sample type | Quality Assurance | A brief description of the sample | A set of 3 JPCP RSC beams |
The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Alberto | Last name of sampler or witnessed by | Pineda-Gonzalez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 24-2417 | 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 | G# 21 CTS 221 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 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
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. |