Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-09-14-45
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993526 DEA: 07301704 EFIS: 0714000033 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210,605-R33.6/R36.5,25.7/26.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | SLOPE PAVING, PLANT ESTABLISHMENT AND MODIFYING IRRIGATION SYSTEM. |
| Location Description | LOS ANGELES COUNTY IN MONROVIA, DUARTE AND IRWINDALE AT VARIOUS LOCATIONS ON ROUTE 210 FROM 0.1 MILE WEST OF SOUTH MAGNOLIA AVENUE UNDERCROSSING TO 0.1 MILE EAST OF ROUTE 210/605 SEPARATION AND ON ROUTE 605 FROM 0.1 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 2 |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 09/14/2023 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 09/19/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nelson | Last name of sampler or witnessed by | Periera |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | 1054-914 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Gunner Concrete | Transportation Laboratory (TL) Number | 1054-914 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 44 |
|---|---|---|---|
| The truck number from where the sample was collected | 70 | The batch plant ticket number from where the sample was collected | 75 |
| Concrete batch plant | Gunner Concrete | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Slope paving. Location 6 between sta 192.95 to 193.90 | 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: 2023-09-14-45-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-09-14-45-2 ASTM C39-21 (Verified)