Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-04-25-16
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Project Information
| Project Identifiers | Project ID: 211197 DEA: 072827U4 EFIS: 0714000204 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,101-16.4,S0.0/25.9 |
| Award Date | 05/12/2016 |
| Closeout Date | 08/12/2020 |
| Work Description | WIDEN SHOULDERS, INSTALL MIDWEST GUARDRAIL SYSTEM AND CRASH CUSHIONS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM ROUTE 5/60 SEPARATION TO 0.1 MILE WEST OF VENTURA BOULEVARD OVERCROSSING. |
| QA Service Level | 1 (Verified on 06/21/2016) |
Sample Information
| Sample Taken Date | 04/25/2018 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 05/04/2018 |
| 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 | SR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 981-1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Associated Ready Mix | Transportation Laboratory (TL) Number | S LOC 47 1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | AUSTIN VAULT 16 INCH CIDH SB 101 VAN BUYS ON RAMP |
| Structure name | AUSTIN VAULT 16 INCH CIDH SB 101 VAN BUYS ON RAMP |
Material Information
| Material Type | Concrete | The concrete mix design number | NOT PROVIDED |
|---|---|---|---|
| The truck number from where the sample was collected | 467 | The batch plant ticket number from where the sample was collected | 5809746 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | AUSTIN VAULT 16 INCH CIDH SB 101 VAN BUYS ON RAMP |
| 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: 2018-04-25-16-1 ASTM C39-17a (Verified)