Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-06-17-1
Project Information
Project Identifiers | Project ID: 211671 DEA: 07281504 EFIS: 0700000552 |
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DIST-CO-RTE-PM | 07-LA,VEN-101-29.3/38.2,0.0/1.2 |
Award Date | 12/09/2016 |
Closeout Date | 05/04/2020 |
Work Description | CONSTRUCT STORM WATER TREATMENT SYSTEMS. |
Location Description | LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 01/23/2017) |
Sample Information
Sample Taken Date | 06/17/2017 | Sample Unique Key | 1 |
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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 | 06/12/2017 |
Sample type | Quality Assurance | A brief description of the sample | 6 X 12 Concrete Cylinder |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | A | Last name of sampler or witnessed by | MAGHSADLO |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 960-56 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | NOT PROVIDED | Transportation Laboratory (TL) Number | 193656 |
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 |
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The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | LOAD 2 | Where the material sample would have been placed if not sampled | LOCATION 20 AUSTIN VAULT |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |