Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2018-01-22-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date01/22/2018 Sample Unique Key3
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 testing01/24/2018
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byNelson Last name of sampler or witnessed byPereira
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-19 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHolliday Rock Transportation Laboratory (TL) Number14919
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier736B MOD AT SUNSET BW STATION 837 PLUS 39 TO 837 PLUS 63 CIDH CONCRETE POUR
Structure name736B MOD AT SUNSET BW STATION 837 PLUS 39 TO 837 PLUS 63 CIDH CONCRETE POUR

Material Information

Material TypeConcrete The concrete mix design numberCM5854
The truck number from where the sample was collected601 The batch plant ticket number from where the sample was collected14919
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK Where the material sample would have been placed if not sampled736B MOD AT SUNSET BW STATION 837 PLUS 39 TO 837 PLUS 63 CIDH CONCRETE POUR
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-01-22-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory02/20/2018Jose Guzman
Yes
02/20/2018

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-01-22-3-1 ASTM C39-17a (Verified)