Sample Record

DIME Sample ID 2015-07-23-7

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 Date07/23/2015 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing07/29/2015 Sample typeQuality Assurance
A brief description of the sample2x2 CUBES The quantity of what the sample constitutes3
From where was the sample collectedJob Site First name of sampler or witnessed byPETER
Last name of sampler or witnessed byGAN Title of samplerTESTER
Telephone number of samplerUnknown Laboratory sample identification866-501
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameJOB
Transportation Laboratory (TL) Number07231501 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierOCEAN BLVD TO SR 47 IN LB Structure nameBENT C3 CIDH PILES 1 TIP GROUT
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number06 TO 07 WC RATIO
The truck number from where the sample was collectedUnknown 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 collectedMIXER Where the material sample would have been placed if not sampledUnknown
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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Test File Attachments