Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-08-25-1
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Project Information
| Project Identifiers | Project ID: 212731 DEA: 07318004 EFIS: 0715000280 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-22.3/28.2 |
| Award Date | 11/16/2017 |
| Closeout Date | 06/16/2021 |
| Work Description | TREAT BRIDGE DECK, CLOSURE POUR AND REPLACE JOINT SEALS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM FREMONT AVENUE UNDERCROSSING TO RIO HONDO62 |
| QA Service Level | 1 (Verified on 03/21/2018) |
Sample Information
| Sample Taken Date | 08/25/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/28/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Thomas | Last name of sampler or witnessed by | Tong |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 982-0825 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CTS SHORT LOAD RAPID SET | Transportation Laboratory (TL) Number | 20180825 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS |
| Structure name | 10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-72-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 16 | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | spectrum |
| A detailed description of where the material sample was collected | LOAD 1 | Where the material sample would have been placed if not sampled | 10 FWY WB RIO HONDO HOV LANE 1 APPROACH LABS |
| 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: 2018-08-25-1-1 ASTM C39-17a (Verified)