Sample Record

DIME Sample ID 2015-03-06-1

Project Information

Project IdentifiersProject ID: 3959
DEA: 072159C4
EFIS: 0700000339
DIST-CO-RTE-PM07-LA-5-001.8/003.0
Award Date08/19/2011
Closeout Date08/16/2018
Work DescriptionCARMENITA INTERCHANGE IMPROVEMENT
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2012)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/06/2015 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing03/11/2015 Sample typeQuality Control
A brief description of the sample6X12 cylinders The quantity of what the sample constitutes2 6x12 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed bycharles
Last name of sampler or witnessed byleong Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namesite
Transportation Laboratory (TL) Number148B Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierspan 8 to 9 stem and soffit croc west pump Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numbersm4009
The truck number from where the sample was collected64 and 157 The batch plant ticket number from where the sample was collected159439and 159546
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 sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

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