Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-12-3
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Project Information
| Project Identifiers | Project ID: 212827 DEA: 07296404 EFIS: 0713000031 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,10,60-16.1/17.0,18.1/18.4,0.4/R1.0 |
| Award Date | 01/18/2018 |
| Closeout Date | 09/03/2020 |
| Work Description | PLACE ROCK BLANKET, MINOR CONCRETE, AND WEED CONTROL MAT. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM EUCLID AVENUE UNDERCROSSING TO SEVENTH STREET OVERCROSSING AND ON ROUTE 10 FROM LA RIVER TO ROUTE 5 AND ON ROUTE 60 FROM SOTO STREET UNDERCROSSING TO EAST OF EUCLID AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/14/2019) |
Sample Information
| Sample Taken Date | 10/12/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 10/14/2019 |
| 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 | Zafar | Last name of sampler or witnessed by | Inam |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1006-54 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Ready Mixed Concrete | Transportation Laboratory (TL) Number | 136454 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CB 4 60 SD BARRIER | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 556300 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | NA |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | CB 4 60 SD BARRIER |
| 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: 2019-10-12-3-1 ASTM C39-10
DIME Test ID: 2019-10-12-3-2 ASTM C39-10 (Verified)