Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-04-24-1
Project Information
Project Identifiers | Project ID: 7409 DEA: 07245403 EFIS: 0700000431 |
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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 | 04/24/2015 | Sample Unique Key | 1 |
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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 | 04/28/2015 |
Sample type | Quality Control | A brief description of the sample | 6x12 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 | 854-18 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 60518 |
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 |
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The truck number from where the sample was collected | Unknown | 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 | FRAME 3 SOFFIT AND STEM POUR 2 SPAN 8 AND 9 | 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: 2015-04-24-1-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-04-24-1-2 CTM 521-November 2014 (Verified)