Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-04-27-7
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Project Information
| Project Identifiers | Project ID: 7428 DEA: 07215944 EFIS: 0700001834 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-4.0/5.9 |
| Award Date | 08/23/2012 |
| Closeout Date | 07/02/2021 |
| Work Description | RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES. |
| Location Description | LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/07/2012) |
Sample Information
| Sample Taken Date | 04/27/2017 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 04/28/2017 |
| Sample type | Quality Control | 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 | DAVID | Last name of sampler or witnessed by | WEEKS |
| Title of sampler | QA INSP | Telephone number of sampler | Unknown |
| Laboratory sample identification | 852-009 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | OLDCASTLE PRECAST | Transportation Laboratory (TL) Number | L79-7466-009 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RECONSTRUCT AND WIDEN FWY AND UC STRUCT |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | UV-273 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 55716 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TUCKER TRANS DIS | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2017-04-27-7-1 ASTM C39-17a (Verified)