Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-02-26-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 3959 DEA: 072159C4 EFIS: 0700000339 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-001.8/003.0 |
| Award Date | 08/19/2011 |
| Closeout Date | 08/16/2018 |
| Work Description | CARMENITA INTERCHANGE IMPROVEMENT |
| Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 05/01/2012) |
Sample Information
| Sample Taken Date | 02/26/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 03/11/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | DAVID | Last name of sampler or witnessed by | COOPER |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 856-40 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | FIELD | Transportation Laboratory (TL) Number | 199540 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SW205 |
| Structure name | GRADE BEAMS |
Material Information
| Material Type | Concrete | The concrete mix design number | S62578 |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | 158897 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | NATIONAL READY MIX |
| A detailed description of where the material sample was collected | TRUK | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||