Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-04-14-10
Project Information
Project Identifiers | Project ID: 7427 DEA: 07215934 EFIS: 0700001833 |
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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 | 04/14/2015 | Sample Unique Key | 10 |
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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 | 04/20/2015 |
Sample type | Quality Control | 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 | ROY | Last name of sampler or witnessed by | AUER |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 856-50 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 199550 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | I5 SEGMENT3 PROJ |
Structure name | STA 191 00 TO 194 13 RC1 |
Material Information
Material Type | Concrete | The concrete mix design number | S72036 |
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The truck number from where the sample was collected | LOAD 3 | The batch plant ticket number from where the sample was collected | 161595 |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2015-04-14-10-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-04-14-10-2 CTM 521-November 2014 (Verified)