Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-08-08-22
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Project Information
| Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
| Award Date | 02/10/2014 |
| Closeout Date | 03/01/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | LOS 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 Level | 1 (Verified on 05/06/2014) |
Sample Information
| Sample Taken Date | 08/08/2019 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 08/12/2019 |
| 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 | T | Last name of sampler or witnessed by | TONG |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 882-808 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 20190808 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | I-10 SUNSET MEDIAN APPROACH SLAB |
Material Information
| Material Type | Concrete | The concrete mix design number | SC675B38 |
|---|---|---|---|
| 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 | ames |
| A detailed description of where the material sample was collected | LOAD NO 2 | Where the material sample would have been placed if not sampled | I 10 SUNSET MEDIAN APPROACH SLAB |
| 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: 2019-08-08-22-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-08-08-22-2 ASTM C39-10 (Verified)