Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-10-20-12
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Project Information
| Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-37.2/42.4 |
| Award Date | 11/16/2015 |
| Closeout Date | 07/11/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA |
| QA Service Level | 1 (Verified on 03/07/2016) |
Sample Information
| Sample Taken Date | 10/20/2017 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/06/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jonathan | Last name of sampler or witnessed by | Yeo |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 946-73 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | READY MIX CONCRETE | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RW 2084 |
| Structure name | RW 2084 |
Material Information
| Material Type | Concrete | The concrete mix design number | CM5645 |
|---|---|---|---|
| The truck number from where the sample was collected | 627 | The batch plant ticket number from where the sample was collected | R101113606 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | load 5 | Where the material sample would have been placed if not sampled | RW 2084 stem wall 93 plus 07 to 93 plus 87 |
| 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: 2017-10-20-12-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-10-20-12-2 ASTM C39-17a (Verified)