Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-05-04-5

Project Information

Project IdentifiersProject ID: 209240
DEA: 07259204
EFIS: 0700020196
DIST-CO-RTE-PM07-LA-10-R8.8/13.5
Award Date03/10/2014
Closeout Date04/11/2017
Work DescriptionCONSTRUCT AUSTIN VAULT SAND FILTER BEDS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM LA CIENEGA BOULEVARD TO 0.3 MILE WEST OF VERMONT AVENUE
QA Service Level1 (Verified on 04/18/2014)

Sample Information

Sample Taken Date05/04/2015 Sample Unique Key5
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 testing05/06/2015
Sample typeQuality Control A brief description of the sample6x12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byC Last name of sampler or witnessed byTONG
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification903-04 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number150504
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierAVSF
Structure nameAVSF FOOTING AT LOCATION 10

Material Information

Material TypeConcrete The concrete mix design number556300
The truck number from where the sample was collected464 The batch plant ticket number from where the sample was collected658
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-05-04-5-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory05/11/2015Matthew Clayton
Yes
05/11/2015
2015-05-04-5-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersFriday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory05/18/2015Friday Ofoegbu
Yes
05/18/2015
2015-05-04-5-3CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory06/01/2015Matthew Clayton
Yes
06/01/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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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)