Sample Record

DIME Sample ID 2016-11-04-8

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/04/2016 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing11/14/2016 Sample typeQuality Control
A brief description of the sampleLightweight Concrete 3x6 The quantity of what the sample constitutes6
From where was the sample collectedJob Site First name of sampler or witnessed byCARDIEL
Last name of sampler or witnessed byBUGARIN Title of sampler IQA ENGINEER
Telephone number of samplerUnknown Laboratory sample identification866-11
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCELL-CRETE
Transportation Laboratory (TL) Number110416RWLCCL11 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierOCEAN BLVD TO SR 47 IN LB Structure nameWALL R LCC LIFT 11
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberN A
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTREMIE PIPE Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments