Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-04-10-9
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Project Information
| Project Identifiers | Project ID: 209849 DEA: 07258404 EFIS: 0712000102 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-18.4/36.3 |
| Award Date | 01/20/2016 |
| Closeout Date | 10/04/2019 |
| Work Description | IN LOS ANGELES COUNTY IN LOS ANGELES AND BURBANK AT VARIOUS LOCATION FROM ROUTE 60 TO ROUTE 170 CONSTRUCT GROSS SOLID REMOVAL DEVICES |
| Location Description | IN LOS ANGELES COUNTY, AT VARIOUS LOCATIONS FROM ROUTE 5/10SEPARATION TO 0.2 MILES NORTH OFFLECTCHER DRIVE UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/27/2014) |
Sample Information
| Sample Taken Date | 04/10/2017 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 04/19/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 12 x 6 concrete cylinder |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | Tong |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 933-10 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NATIONAL READY MIX | Transportation Laboratory (TL) Number | 170410 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | S63061 |
|---|---|---|---|
| The truck number from where the sample was collected | 472 | The batch plant ticket number from where the sample was collected | 220194 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | Where the material sample would have been placed if not sampled | RW 9 AT AVSF FOOTING AT LOC 6 |
| 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: 2017-04-10-9-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-04-10-9-2 ASTM C39-17a (Verified)
DIME Test ID: 2017-04-10-9-3 ASTM C39-17a (Verified)