Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-12-20-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212888 DEA: 07202124 EFIS: 0700020870 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-20.9/24.6 |
| Award Date | 02/16/2018 |
| Closeout Date | 05/04/2022 |
| Work Description | PAVEMENT REHABILITATION AND BRIDGE WIDENING |
| Location Description | LOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 03/29/2018) |
Sample Information
| Sample Taken Date | 12/20/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | SCC concrete |
| The quantity of what the sample constitutes | 5 yards | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7077918219 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Con-Fab California Corporation | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S47-002-18 | Structure unique identifier | |
| Structure name | H310D |
Material Information
| Material Type | Concrete | The concrete mix design number | SCCS9525F |
|---|---|---|---|
| The truck number from where the sample was collected | xxx | The batch plant ticket number from where the sample was collected | xxx |
| Concrete batch plant | ConFab Shafter | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-12-20-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2018-12-20-1-2 ASTM C39-17a (Verified)