Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-04-16-6
Sample Details QR Code
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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 | 04/16/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 04/20/2015 |
| Sample type | Quality Control | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | 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 | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | site | Transportation Laboratory (TL) Number | 60515 |
| 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 | s75099 |
|---|---|---|---|
| The truck number from where the sample was collected | 373 | The batch plant ticket number from where the sample was collected | 199313 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | frame 3 soffit and stem Pour1 spans 11 and 10 | 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: 2015-04-16-6-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-04-16-6-2 CTM 521-November 2014 (Verified)