Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-04-26-13
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Project Information
| Project Identifiers | Project ID: 212600 DEA: 07293704 EFIS: 0713000239 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110,405-8.0/9.0,12.2/13.2 |
| Award Date | 02/27/2018 |
| Closeout Date | 08/03/2023 |
| Work Description | WIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/03/2018) |
Sample Information
| Sample Taken Date | 04/26/2019 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 05/02/2019 |
| 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 | Z | Last name of sampler or witnessed by | INAM |
| Title of sampler | TEC | Telephone number of sampler | 310 925 9411 |
| Laboratory sample identification | 993-1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | RW 437 Footing | |
| Structure name | RW 437 Footing |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM11068 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | OHL USA INC |
| A detailed description of where the material sample was collected | at 1000 am | Where the material sample would have been placed if not sampled | RW 437 Footing |
| 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: 2019-04-26-13-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-04-26-13-2 ASTM C39-10 (Verified)