Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-07-15-25
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Project Information
| Project Identifiers | Project ID: 214453 DEA: 07317504 EFIS: 0715000246 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,101,405,and710-VariousLocations |
| Award Date | 11/27/2019 |
| Closeout Date | 01/20/2022 |
| Work Description | REPLACE DRAINAGE PUMPING EQUIPMENT. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 02/26/2020) |
Sample Information
| Sample Taken Date | 07/15/2020 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 07/20/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ZAFAR | Last name of sampler or witnessed by | INAM |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1014-81 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | NP | Transportation Laboratory (TL) Number | 134681 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237SLSP |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NP | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | CHUTE | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-15-25-1 ASTM C39-10 (Verified)
DIME Test ID: 2020-07-15-25-2 ASTM C39-10 (Verified)
DIME Test ID: 2020-07-15-25-3 ASTM C39-10 (Verified)