Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-05-04-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209240 DEA: 07259204 EFIS: 0700020196 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-R8.8/13.5 |
| Award Date | 03/10/2014 |
| Closeout Date | 04/11/2017 |
| Work Description | CONSTRUCT AUSTIN VAULT SAND FILTER BEDS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM LA CIENEGA BOULEVARD TO 0.3 MILE WEST OF VERMONT AVENUE |
| QA Service Level | 1 (Verified on 04/18/2014) |
Sample Information
| Sample Taken Date | 05/04/2015 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 05/06/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | C | Last name of sampler or witnessed by | TONG |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 903-04 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 150504 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | AVSF |
| Structure name | AVSF FOOTING AT LOCATION 10 |
Material Information
| Material Type | Concrete | The concrete mix design number | 556300 |
|---|---|---|---|
| The truck number from where the sample was collected | 464 | The batch plant ticket number from where the sample was collected | 658 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | 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: 2015-05-04-5-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-05-04-5-2 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-05-04-5-3 CTM 521-November 2014 (Verified)