Sample Record

DIME Sample ID 2016-06-07-16

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout Date07/14/2022
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date06/07/2016 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing07/11/2016 Sample typeQuality Assurance
A brief description of the sample6x12 The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byERIC
Last name of sampler or witnessed byOJIYI Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identification816-07A
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameNATIONAL READY MIX
Transportation Laboratory (TL) Number194207A Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierSTAGE 3 FRAME 1 STEM AND SOFFIT SPANS 3 4 5 Structure nameSCHYULER HEIM BRIDGE
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberS75099R1
The truck number from where the sample was collected435 The batch plant ticket number from where the sample was collected183304
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE Where the material sample would have been placed if not sampledSTAGE 3 FRAME 1 STEM AND SOFFIT SPANS 3 4 5
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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