Sample Record

DIME Sample ID 2015-03-30-1

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 Date03/30/2015 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing04/02/2015 Sample typeVerification
A brief description of the sample6X12 The quantity of what the sample constitutes2CYLS
From where was the sample collectedJob Site First name of sampler or witnessed bySOUTHWESTER
Last name of sampler or witnessed byLAB Title of samplerINDEPENDENT QA
Telephone number of samplerUnknown Laboratory sample identification866-GC
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCollected at jobsite
Transportation Laboratory (TL) NumberC25 GC Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameC25 P4 TIP GROUTING
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberNA
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNA 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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Sample File Attachments

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Test File Attachments