Sample Record

DIME Sample ID 2017-06-17-1

Project Information

Project IdentifiersProject ID: 211671
DEA: 07281504
EFIS: 0700000552
DIST-CO-RTE-PM07-LA,VEN-101-29.3/38.2,0.0/1.2
Award Date12/09/2016
Closeout Date05/04/2020
Work DescriptionCONSTRUCT STORM WATER TREATMENT SYSTEMS.
Location DescriptionLOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 01/23/2017)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date06/17/2017 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing06/12/2017 Sample typeQuality Assurance
A brief description of the sample6 X 12 Concrete Cylinder The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byA
Last name of sampler or witnessed byMAGHSADLO Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identification960-56
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameNOT PROVIDED
Transportation Laboratory (TL) Number193656 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberS63061
The truck number from where the sample was collectedNOT PROVIDED The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 2 Where the material sample would have been placed if not sampledLOCATION 20 AUSTIN VAULT
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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