Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-08-21-1
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Project Information
| Project Identifiers | Project ID: 210251 DEA: 072W6904 EFIS: 0713000439 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-Various |
| Award Date | 04/23/2015 |
| Closeout Date | 11/29/2016 |
| Work Description | TREAT BRIDGE DECK WITH METHACRYLATE AND REPLACE JOINT SEALS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/11/2016) |
Sample Information
| Sample Taken Date | 08/21/2016 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/24/2016 |
| 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 | Braidy | Last name of sampler or witnessed by | Fernandez |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 923-24W | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | SLC Anaheim | Transportation Laboratory (TL) Number | 923-24W |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-72-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 10 | The batch plant ticket number from where the sample was collected | 47366 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | Where the material sample would have been placed if not sampled | SB FWY ALLEN FROM APPROX MID SPAN TO ABUT 2 DECK POUR PHASE II |
| 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: 2016-08-21-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-08-21-1-2 ASTM C39-17a (Verified)