Sample Record

DIME Sample ID 2015-03-18-2

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/18/2015 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing03/23/2015 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byA
Last name of sampler or witnessed byPICAZO Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identification866-00
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCollected at jobsite
Transportation Laboratory (TL) Number146300 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameOCEAN BLVD to SR 47 IN LB
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number804725WHX
The truck number from where the sample was collected412 The batch plant ticket number from where the sample was collected5124120
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedA8N P4 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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