Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-07-27-5
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Project Information
| Project Identifiers | Project ID: 211304 DEA: 07302604 EFIS: 0713000483 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R4.4/R12.1 |
| Award Date | 07/22/2016 |
| Closeout Date | 06/16/2021 |
| Work Description | REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT. |
| Location Description | LOS ANGELES COUNTY FROM ROUTE 57/60 SEPARATION IN DIAMOND BAR TO ROUTE 57/210 SEPARATION IN GLENDORA |
| QA Service Level | 1 (Verified on 05/30/2017) |
Sample Information
| Sample Taken Date | 07/27/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 07/28/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 6x12 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | George | Last name of sampler or witnessed by | Lujan |
| Title of sampler | QAI | Telephone number of sampler | 951 640-5331 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Pro Cast Products | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Route 57 and 60 Pavement slabs |
| Structure name | Precast Pavement Slabs |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM-14062 |
|---|---|---|---|
| The truck number from where the sample was collected | 14 | The batch plant ticket number from where the sample was collected | 3056018 |
| Concrete batch plant | Robertsons Ready Mix | The fabricator/manufacturer designation for the sample | Load 4 |
| A detailed description of where the material sample was collected | Wheel Barrow from Chute | Where the material sample would have been placed if not sampled | Precast Pavement Slabs |
| From Lot No. | Load 4 | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-07-27-5-1 ASTM C39-17a (Verified)