Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-02-25-6
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Project Information
| Project Identifiers | Project ID: 212908 DEA: 07300404 EFIS: 0713000435 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-1.5/29.1 |
| Award Date | 02/21/2018 |
| Closeout Date | Not set |
| Work Description | SLOPE PROTECTION AND BMP CONSTRUCTION. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AND NEAR CALABASAS FROM 0.1 MILE SOUTH OF ROUTE 101/110 SEPARATION TO 0.1 MILE NORTH OF MUREAU ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/09/2018) |
Sample Information
| Sample Taken Date | 02/25/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 02/25/2019 |
| 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 | ADRIANA | Last name of sampler or witnessed by | PIMIENTA |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 985-225 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | 190225 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | FWY MEDIAN AT US 101 AND VERMONT | |
| Structure name | AVSF FOOTING AT LOCATION 10 |
Material Information
| Material Type | Concrete | The concrete mix design number | S77077 |
|---|---|---|---|
| The truck number from where the sample was collected | 2001 | The batch plant ticket number from where the sample was collected | 214592 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | POWELL CONSTRUCTORS |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | FWY MEDIAN AT US 101 AND VERMONT |
| 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: 2019-02-25-6-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-02-25-6-2 ASTM C39-10 (Verified)