Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-09-28-18
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Project Information
| Project Identifiers | Project ID: 209918 DEA: 07274804 EFIS: 0700000516 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-18-0.2 |
| Award Date | 12/09/2014 |
| Closeout Date | 01/15/2018 |
| Work Description | REPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS. |
| Location Description | LOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD |
| QA Service Level | 1 (Verified on 01/08/2015) |
Sample Information
| Sample Taken Date | 09/28/2016 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 09/30/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete 6 x 12 Cylinders |
| The quantity of what the sample constitutes | 10 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | A | Last name of sampler or witnessed by | AMBAYE |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 936-A1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | HI GRADE MATERIALS | Transportation Laboratory (TL) Number | 786-A1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SITI72A2 |
|---|---|---|---|
| The truck number from where the sample was collected | 185 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | BRIDGE DECK REPLACEMENT LIANO CALIFORNIA |
| 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: 2016-09-28-18-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-09-28-18-2 ASTM C39-17a (Verified)
DIME Test ID: 2016-09-28-18-3 ASTM C39-10 (Verified)
DIME Test ID: 2016-09-28-18-4 ASTM C39-17a (Verified)
DIME Test ID: 2016-09-28-18-5 ASTM C39-17a (Verified)