Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-13-6
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Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 09/13/2019 | 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 | 09/16/2019 |
| 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 | Antonio | Last name of sampler or witnessed by | Picazo |
| Title of sampler | Field Technician | Telephone number of sampler | |
| Laboratory sample identification | 978-301 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | securty paving | Transportation Laboratory (TL) Number | 19091301 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | PIER 3 WALL |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-STR-002 |
|---|---|---|---|
| The truck number from where the sample was collected | LOAD 12 | The batch plant ticket number from where the sample was collected | 12 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | SECURITY PAVING |
| A detailed description of where the material sample was collected | LOAD 12 | Where the material sample would have been placed if not sampled | PIER 3 WALL |
| 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: 2019-09-13-6-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-09-13-6-2 ASTM C39-10 (Verified)