Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-04-21-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7427 DEA: 07215934 EFIS: 0700001833 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-2.4/4.0 |
| Award Date | 08/14/2012 |
| Closeout Date | 02/20/2020 |
| Work Description | Widen and Realign Freeway and Construct Ped OC, OC and UC Structures. |
| Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING |
| QA Service Level | 1 (Verified on 11/26/2012) |
Sample Information
| Sample Taken Date | 04/21/2015 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | Verification | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ALI | Last name of sampler or witnessed by | JENABZADEH |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 856-51 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 199551 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | AVSF WALLS |
Material Information
| Material Type | Concrete | The concrete mix design number | S63061 |
|---|---|---|---|
| The truck number from where the sample was collected | 420 | 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 | 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-04-21-7-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-04-21-7-2 CTM 521-November 2014 (Verified)