Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-09-21-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993771 DEA: 07325204 EFIS: 0716000082 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R36.7/R37.1 |
| Award Date | 02/15/2022 |
| Closeout Date | 01/29/2024 |
| Work Description | San Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs |
| Location Description | Los Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING |
| QA Service Level | 1 (Verified on 04/21/2022) |
Sample Information
| Sample Taken Date | 09/21/2022 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 09/23/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders 4x8 |
| The quantity of what the sample constitutes | 10 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Noura | Last name of sampler or witnessed by | Alayyan |
| Title of sampler | Struct Insp | Telephone number of sampler | |
| Laboratory sample identification | 1044-04 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National | Transportation Laboratory (TL) Number | 1044-04 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | S72073 |
|---|---|---|---|
| The truck number from where the sample was collected | Not Provided | The batch plant ticket number from where the sample was collected | Not Provided |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | EB 210 STA 3510 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-21-37-1 ASTM C39-10 (Verified)
DIME Test ID: 2022-09-21-37-2 ASTM C39-10 (Verified)
DIME Test ID: 2022-09-21-37-3 ASTM C39-10 (Verified)
DIME Test ID: 2022-09-21-37-4 ASTM C39-10 (Verified)