Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-04-27-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 7409 DEA: 07245403 EFIS: 0700000431 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-31.1/32.3 |
| Award Date | 02/29/2012 |
| Closeout Date | 10/27/2016 |
| Work Description | Construct Connector between I-10 and I-605 (Design Build Project) LA-10-31.1/32.3, LA-605-R20.2/20.6 |
| Location Description | 10 & 605 IC |
| QA Service Level | 1 (Verified on 03/14/2013) |
Sample Information
| Sample Taken Date | 04/27/2015 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/01/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4CYLS. | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | OSCAR | Last name of sampler or witnessed by | RODRIGUEZ |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 854-14 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | job site | Transportation Laboratory (TL) Number | 60514 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | frame 4 soffit and stem pour2span12 2 |
Material Information
| Material Type | Concrete | The concrete mix design number | S75099 |
|---|---|---|---|
| The truck number from where the sample was collected | 476 | The batch plant ticket number from where the sample was collected | 196817 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | 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
| 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. | |||