Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-04-04-14
Sample Details QR Code
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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 | 04/04/2019 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 04/08/2019 |
| Sample type | Annual Source Testing | A brief description of the sample | 1.0" PCC Aggregates |
| The quantity of what the sample constitutes | 5 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kameron | Last name of sampler or witnessed by | Moinian |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | 91-36-0006 | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | unknown |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 703414 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Stockpile | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||