Sample Record

DIME Sample ID 2018-03-30-2

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date11/16/2015
Closeout Date07/11/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/30/2018 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing04/02/2018 Sample typeQuality Assurance
A brief description of the sample6x12 The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byNOT PROVIDED
Last name of sampler or witnessed byNOT Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identification946-5031
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameHOLIDAY ROCK
Transportation Laboratory (TL) Number2365031 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierVia ve Pier 3 Right Structure nameVia ve Pier 3 Right
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number3F40L003
The truck number from where the sample was collected181 The batch plant ticket number from where the sample was collected101122663
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 1 Where the material sample would have been placed if not sampledVia ve Pier 3 Right
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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