Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-01-08-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date01/08/2019 Sample Unique Key2
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 testing01/14/2019
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byNELSON Last name of sampler or witnessed byPereira
Title of samplerField Technician Telephone number of sampler
Laboratory sample identification882-684 Linked DIME Sample ID
The fabricator/manufacturer/facility nameholiday Transportation Laboratory (TL) Number14684
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier736 Mod SW 1871 between st 1896 50 to 189775
Structure name736 Mod SW 1871 between st 1896 50 to 189775

Material Information

Material TypeConcrete The concrete mix design numberCM5645
The truck number from where the sample was collected183 The batch plant ticket number from where the sample was collected1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleAMES CONSTRUCTION
A detailed description of where the material sample was collectedtruck Where the material sample would have been placed if not sampled736 Mod SW 1871 between st 1896 50 to 189775
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-08-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT D08 - Fontana Southern Regional Laboratory02/05/2019Minh Pham
Yes
02/13/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-01-08-2-1 ASTM C39-10 (Verified)