Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-09-22-5
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Project Information
| Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
| Award Date | 11/29/2012 |
| Closeout Date | 07/31/2023 |
| Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
| Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
| Sample Taken Date | 09/22/2015 | Sample Unique Key | 5 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/23/2015 | Sample type | Department Acceptance |
| A brief description of the sample | Structure Backfill | The quantity of what the sample constitutes | 3 Bags |
| From where was the sample collected | Source | First name of sampler or witnessed by | Unknown |
| Last name of sampler or witnessed by | Unknown | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | 5247B |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | NA |
| Transportation Laboratory (TL) Number | Unknown | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Not set | Structure name | Not set |
| Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | RW 1595 at Sta 600 00 |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2015-09-22-5-1 | CTM 217-June 2011: Method of Test for Sand Equivalent | Nemencio Daof, CT D08 - Fontana Southern Regional Laboratory | 09/25/2015 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-09-22-5-1 CTM 217-June 2011