Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-07-03-3
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Project Information
| Project Identifiers | Project ID: 210874 DEA: 07287104 EFIS: 0700020899 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,101-S0.0/S0.1,0.0/0.1 |
| Award Date | 12/22/2015 |
| Closeout Date | 08/15/2018 |
| Work Description | CONSTRUCT CONCRETE BARRIER. |
| Location Description | LA COUNTY IN LA FROM SOUTHBOUND ROUTE 101 TO EASTBOUND ROUTE 10 CONNECTOR AND WESTBOUND ROUTE 10 TONORTHBOUND ROUTE 101 |
| QA Service Level | 1 (Verified on 08/16/2016) |
Sample Information
| Sample Taken Date | 07/03/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 07/24/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Addis | Last name of sampler or witnessed by | Ambaye |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 962-S1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ASSOCIATE READY MIX | Transportation Laboratory (TL) Number | S1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | BARRIER RAIL |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237 |
|---|---|---|---|
| The truck number from where the sample was collected | 365 | The batch plant ticket number from where the sample was collected | 5690450 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | truck | Where the material sample would have been placed if not sampled | COLOR TYPE 60 C MOD |
| 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: 2017-07-03-3-1 ASTM C39-17a (Verified)