Sample Record

DIME Sample ID 2017-12-18-16

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date12/18/2017 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing09/20/2016 Sample typeQuality Assurance
A brief description of the sampleconcrete cylinders The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byHLA
Last name of sampler or witnessed byGARY Title of samplerMACOMB
Telephone number of samplerUnknown Laboratory sample identification866-817
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameA and A READY MIX
Transportation Laboratory (TL) NumberL10-108-17 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierSO BED PANEL C8C 204 Structure nameGERALD DESMOND BRIDGE
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberSFI-LWSBS5
The truck number from where the sample was collected422 The batch plant ticket number from where the sample was collected421189
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledSO BED PANEL C8C 204
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments