Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-10-26-10
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Project Information
| Project Identifiers | Project ID: 211507 DEA: 07279114 EFIS: 0715000075 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60-R24.4/R25.3 |
| Award Date | 09/19/2016 |
| Closeout Date | 07/23/2019 |
| Work Description | CONSTRUCT RAMPS AND AUXILIARY LANE. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM GRAND AVENUE OVERCROSSING TO 0.1 MILE WEST OF PROSPECTORS UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 10/26/2017 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 11/13/2017 |
| Sample type | Quality Assurance | 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 | RYAN | Last name of sampler or witnessed by | RAMOS |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 958-22 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 13257422 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN |
| Structure name | SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SM450R4R |
|---|---|---|---|
| The truck number from where the sample was collected | 1861 | The batch plant ticket number from where the sample was collected | 13257422 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | SIGN STRUCTURE OH 2 PILE FOUNDATION MEDIAN |
| 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: 2017-10-26-10-1 ASTM C39-17a (Verified)