Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-06-27-12
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211671 DEA: 07281504 EFIS: 0700000552 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,VEN-101-29.3/38.2,0.0/1.2 |
| Award Date | 12/09/2016 |
| Closeout Date | 05/04/2020 |
| Work Description | CONSTRUCT STORM WATER TREATMENT SYSTEMS. |
| Location Description | LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/23/2017) |
Sample Information
| Sample Taken Date | 06/27/2017 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 07/05/2017 |
| Sample type | Quality Control | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | AZZ | Last name of sampler or witnessed by | MAG |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 960-57 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NP | Transportation Laboratory (TL) Number | 193657 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | LOCATION 3 AUSTIN VAULT |
| Structure name | UPPER |
Material Information
| Material Type | Concrete | The concrete mix design number | 563061 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | NATIONAL READY MIX |
| A detailed description of where the material sample was collected | NP | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-27-12-1 ASTM C39-17a (Verified)