Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-05-14-2
Project Information
Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
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DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
Award Date | 02/10/2014 |
Closeout Date | 03/01/2022 |
Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 05/06/2014) |
Sample Information
Sample Taken Date | 05/14/2015 | Sample Unique Key | 2 |
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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 | 05/15/2015 |
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 | SAL | Last name of sampler or witnessed by | VALDOVINOS |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 882-13 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 1624513 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | WEST OF PUENTE AVE UC to EAST OF HOLLENBECK |
Structure name | SW 1847 FROM 1857 7312 1850 9622 |
Material Information
Material Type | Concrete | The concrete mix design number | CM5645 |
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The truck number from where the sample was collected | 160 | The batch plant ticket number from where the sample was collected | 101049830 |
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: 2015-05-14-2-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-05-14-2-2 CTM 521-November 2014 (Verified)