Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2013-12-04-7000695
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Project Information
| Project Identifiers | Project ID: 3825 DEA: 07138204 EFIS: 0700000142 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47,103-3.5/4.6,0.0/1.1 |
| Award Date | 06/30/2011 |
| Closeout Date | 07/14/2022 |
| Work Description | REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD |
| QA Service Level | 1 (Verified on 03/29/2012) |
Sample Information
| Sample Taken Date | 12/04/2013 | Sample Unique Key | 7000695 |
|---|---|---|---|
| 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 | 12/06/2013 |
| Sample type | Department Acceptance | A brief description of the sample | Soil for Structure Backfill |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jakabogu | Last name of sampler or witnessed by | Unknown |
| Title of sampler | ASR | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Abutment 27 | 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) | Abutment 27 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Abutment 27 |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2013-12-04-7000695-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2013-12-04-7000695-2 CTM 217-June 2011 (Verified)