Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2017-04-05-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date04/05/2017 Sample Unique Key9
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 testing04/07/2017
Sample typeQuality Control A brief description of the sample6x12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byOSCAR Last name of sampler or witnessed byRODRIGUEZ
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-05 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHOLLIDAY ROCK Transportation Laboratory (TL) Number05
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierROUTE 10 WEST COVINA
Structure nameRW 763 STEM WALL STA 63 47 TO 63 77

Material Information

Material TypeConcrete The concrete mix design numberCM 5645
The truck number from where the sample was collected192 The batch plant ticket number from where the sample was collected101094245
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK 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 TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-04-05-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory05/03/2017Jose Guzman
Yes
05/03/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2017-04-05-9-1 ASTM C39-17a (Verified)