Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-06-27-5
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Project Information
| Project Identifiers | Project ID: 213069 DEA: 074P2804 EFIS: 0716000278 MINOR: 07A4338 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-8.7/10.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | In Thousand Oaks From SB Conejo Truck scale to 0.8 mile north of Truck scale in District 07 on Route 101 |
| QA Service Level | 1 (Verified on 02/01/2018) |
Sample Information
| Sample Taken Date | 06/27/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 07/05/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pantaleon | Last name of sampler or witnessed by | Rivera |
| Title of sampler | SR | Telephone number of sampler | 805 9061656 |
| Laboratory sample identification | 983-26 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 106626 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | NA |
| Structure name | NA |
Material Information
| Material Type | Concrete | The concrete mix design number | 557247DH |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 5570015 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PRTERSON CHASE |
| A detailed description of where the material sample was collected | NA | Where the material sample would have been placed if not sampled | NA |
| 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: 2018-06-27-5-1 ASTM C39-17a (Verified)
DIME Test ID: 2018-06-27-5-2 ASTM C39-17a (Verified)