Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-02-03-1
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Project Information
| Project Identifiers | Project ID: 210915 DEA: 07306404 EFIS: 0714000165 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R24.7/R44.9 |
| Award Date | 01/06/2016 |
| Closeout Date | 10/04/2019 |
| Work Description | INSTALL CHANGE MESSAGE SIGNS AND TRAFFIC MONITORING STATIONS |
| Location Description | IN LOS ANGELES COUNTY, IN VARIOUS CITIES ALONG I-210 CORRIDOR,BETWEEN SR-134 & SR-57 |
| QA Service Level | 1 (Verified on 12/16/2015) |
Sample Information
| Sample Taken Date | 02/03/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/05/2018 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | CARDIEL | Last name of sampler or witnessed by | BUGARIN |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 971-TN | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | CMS1FNDTN |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 210 EB AT ALLEN AVE |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SM450P47 |
|---|---|---|---|
| The truck number from where the sample was collected | 1643 | The batch plant ticket number from where the sample was collected | 3290165 |
| 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 | Unknown |
| 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: 2018-02-03-1-1 ASTM C39-17a (Verified)