Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2013-08-07-8871
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Project Information
| Project Identifiers | Project ID: 3959 DEA: 072159C4 EFIS: 0700000339 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-001.8/003.0 |
| Award Date | 08/19/2011 |
| Closeout Date | 08/16/2018 |
| Work Description | CARMENITA INTERCHANGE IMPROVEMENT |
| Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 05/01/2012) |
Sample Information
| Sample Taken Date | 08/07/2013 | Sample Unique Key | 8871 |
|---|---|---|---|
| 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 | 08/07/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Rock and sand. |
| The quantity of what the sample constitutes | 29 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | 3223B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Flatiron Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Ewels Materials |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Lean Concrete Base | The fabricator/manufacturer designation for the sample | Mix |
| The plant number | Not set | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Station | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
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. | |||