Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-10-26-1
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Project Information
| Project Identifiers | Project ID: 210785 DEA: 07255104 EFIS: 0700000465 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60-R23.8/R24.5 |
| Award Date | 01/08/2016 |
| Closeout Date | 06/25/2019 |
| Work Description | CONSTRUCT WESTBOUND ONRAMP AND CONCRETE PAVEMENT |
| Location Description | LA COUNTY, IN DIMOND BAR ANDINDUSTRY AT GRAND AVENUE/SR 57/60 IC |
| QA Service Level | 1 (Verified on 02/29/2016) |
Sample Information
| Sample Taken Date | 10/26/2016 | 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 | 10/27/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6 X 12 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 | RICK | Last name of sampler or witnessed by | JENSEN |
| Title of sampler | STRUCTURAL INSPECTOR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 950-1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CEMEX | Transportation Laboratory (TL) Number | 1 |
| 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 | 1418590 |
|---|---|---|---|
| The truck number from where the sample was collected | LOAD 2 | The batch plant ticket number from where the sample was collected | 10036910 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
| A detailed description of where the material sample was collected | TAILGATE | Where the material sample would have been placed if not sampled | RW 1 FOOTING |
| 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: 2016-10-26-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-10-26-1-2 ASTM C39-17a (Verified)