Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-06-07-9
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Project Information
| Project Identifiers | Project ID: 211671 DEA: 07281504 EFIS: 0700000552 |
|---|---|
| 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 | 06/07/2017 | 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 | 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 |
|---|---|---|---|
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-07-9-1 ASTM C39-17a (Verified)