Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-03-23-2
Project Information
Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
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DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
Award Date | 11/29/2012 |
Closeout Date | 07/31/2023 |
Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
Sample Taken Date | 03/23/2015 | Sample Unique Key | 2 |
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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 | 03/27/2015 |
Sample type | Quality Control | A brief description of the sample | Concrete Cylinders |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Braidy | Last name of sampler or witnessed by | Fernandez |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Site | Transportation Laboratory (TL) Number | 150323 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | S62578 |
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The truck number from where the sample was collected | 34 | The batch plant ticket number from where the sample was collected | 177261 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Wall sections sta 634 28 5 to 637 64 5 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2015-03-23-2-1 CTM 521-November 2014 (Verified)