Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-01-10-5
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Project Information
| Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
|---|---|
| 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 | 01/10/2019 | 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 | 01/14/2019 |
| 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 | Oscar | Last name of sampler or witnessed by | Rodriguez |
| Title of sampler | Field Technician | Telephone number of sampler | |
| Laboratory sample identification | 946-110 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | HOLIDAY ROCK | Transportation Laboratory (TL) Number | 2019110 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | tw 2118 barrier rail typy 736 sta 89 89 to sta 91 24 | |
| Structure name | tw 2118 barrier rail typy 736 sta 89 89 to sta 91 24 |
Material Information
| Material Type | Concrete | The concrete mix design number | CM5645 |
|---|---|---|---|
| The truck number from where the sample was collected | 276 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | ATKINSON |
| A detailed description of where the material sample was collected | truck | Where the material sample would have been placed if not sampled | tw 2118 barrier rail typy 736 sta 89 89 to sta 91 24 |
| 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: 2019-01-10-5-1 ASTM C39-10 (Verified)