Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-07-08-21
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Project Information
| Project Identifiers | Project ID: 209921 DEA: 073X8204 EFIS: 0713000218 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-39-21.7,22.0 |
| Award Date | 11/25/2014 |
| Closeout Date | 09/06/2018 |
| Work Description | REPAIR SLOPE FAILURE. |
| Location Description | LOS ANGELES COUNTY AT 0.2 MILE NORTH OF CARPENTER CANYON BRIDGE AND AT 0.2 MILE SOUTH OF PEJSA CANYON BRIDGE |
| QA Service Level | 1 (Verified on 01/06/2015) |
Sample Information
| Sample Taken Date | 07/08/2016 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 07/25/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RICHARD | Last name of sampler or witnessed by | JOLUDOW |
| Title of sampler | STRUCTURE REPRESENTATIVE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 938-08 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 0708 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RTE 39 BARRIER SLAB |
| Structure name | RTE 39 BARRIER SLAB | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SC720R2R |
|---|---|---|---|
| The truck number from where the sample was collected | 1616 | The batch plant ticket number from where the sample was collected | 2202605 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | LOCATION 1 RTE 39 BARRIER SLAB 24 INCHES CIDH PILES |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-07-08-21-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-07-08-21-2 ASTM C39-17a (Verified)