Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-12-07-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7428 DEA: 07215944 EFIS: 0700001834 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-4.0/5.9 |
| Award Date | 08/23/2012 |
| Closeout Date | 07/02/2021 |
| Work Description | RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES. |
| Location Description | LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/07/2012) |
Sample Information
| Sample Taken Date | 12/07/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 45 CY in Girder G2 6 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | QA Inspector | Telephone number of sampler | 951-258-8382 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | OLDCASTLE PRECAST PERRIS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79 | Structure unique identifier | Bridge No 50 3060 Girder G2 6 |
| Structure name | Sant Antonio Dr UC | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | UV-273 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 57089 |
| Concrete batch plant | Onsite | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Castind Bed B1 | Where the material sample would have been placed if not sampled | Casting Bed B1 Girder G2 6 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-07-3-1 ASTM C39-17a (Verified)