Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-03-15-8
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Project Information
| Project Identifiers | Project ID: 209537 DEA: 07295704 EFIS: 0713000025 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605-R0.0/20.5 |
| Award Date | 07/21/2014 |
| Closeout Date | 09/10/2018 |
| Work Description | REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT. |
| Location Description | LOS ANGELES COUNTY FROM ORANGE COUNTY LINE TO ROUTE 10/605 SEPARATION |
| QA Service Level | 1 (Verified on 11/17/2014) |
Sample Information
| Sample Taken Date | 03/15/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 03/15/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Russel | Last name of sampler or witnessed by | Lynch |
| Title of sampler | QA INSPECTOR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 930-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | L96-372-001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | ROUTE 10 605 SEPARATION |
| Structure name | CASTING BED B2C PAVEMENT PANELS |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM14062 |
|---|---|---|---|
| The truck number from where the sample was collected | 15 | The batch plant ticket number from where the sample was collected | 2697709 |
| 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 | Unknown |
| From Lot No. | B2C INDIVIDUAL PRECAST SALB REPLACEMENT | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-03-15-8-1 ASTM C39-17a (Verified)