Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-03-19-3
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 208900 DEA: 07265904 EFIS: 0700000497 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-1.6/10.4 |
| Award Date | 12/31/1969 |
| Closeout Date | 09/09/2015 |
| Work Description | REPLACE BRIDGE RAILING. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM FOUR LEVEL STRUCTURE TO LANKERSHIM BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 02/27/2014) |
Sample Information
| Sample Taken Date | 03/19/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 03/23/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 CYLINDERS | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | DAVID | Last name of sampler or witnessed by | BARON |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 885-19 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 150319 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | CAHUENGA BRIDGE |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237 |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | RIGHT SIDE CURB | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-03-19-3-2 CTM 521-November 2014 (Verified)