Sample Record

DIME Sample ID 2016-03-14-1

Project Information

Project IdentifiersProject ID: 210737
DEA: 073X7114
EFIS: 0715000132
DIST-CO-RTE-PM07-LA-60,126-R7.4/R8.1
Award Date11/16/2015
Closeout Date06/16/2021
Work DescriptionREALIGN RAMPS, WIDEN BRIDGE, AND REPLACE RAMPS PAVEMENT.
Location DescriptionIN LA COUNTY, IN CITY OF MONTEBELLOAT PARAMOUNT BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 12/11/2015)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/14/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing03/16/2016 Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byJohn
Last name of sampler or witnessed byLee Title of samplerStructure Representative
Telephone number of samplerUnknown Laboratory sample identification929-94
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namePlant
Transportation Laboratory (TL) Number1269494 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberS62578
The truck number from where the sample was collected361 The batch plant ticket number from where the sample was collected1269494
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedBatch Plant Where the material sample would have been placed if not sampled60 Paramount WB off Ramp
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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