Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-06-15-13
Project Information
Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
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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 | 06/15/2018 | Sample Unique Key | 13 |
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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 | 06/19/2018 |
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 | WEIN KUNA | Last name of sampler or witnessed by | HSIA |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 946-485B | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | HOLIDAY ROCK | Transportation Laboratory (TL) Number | 946-485B |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RW 2116 CIP |
Structure name | RW 2116 CIP |
Material Information
Material Type | Concrete | The concrete mix design number | NA |
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The truck number from where the sample was collected | 647 | The batch plant ticket number from where the sample was collected | 101126272 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | ATKINSON |
A detailed description of where the material sample was collected | LOAD 6 | Where the material sample would have been placed if not sampled | RW 2116 CIP |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |