Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-05-22-1
Project Information
Project Identifiers | Project ID: 7409 DEA: 07245403 EFIS: 0700000431 |
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DIST-CO-RTE-PM | 07-LA-10-31.1/32.3 |
Award Date | 02/29/2012 |
Closeout Date | 10/27/2016 |
Work Description | Construct Connector between I-10 and I-605 (Design Build Project) LA-10-31.1/32.3, LA-605-R20.2/20.6 |
Location Description | 10 & 605 IC |
QA Service Level | 1 (Verified on 03/14/2013) |
Sample Information
Sample Taken Date | 05/22/2015 | Sample Unique Key | 1 |
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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 | 05/26/2015 |
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 | OSCAR | Last name of sampler or witnessed by | RODRIGUEZ |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 854-21 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 60521 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 10 AND 605 INTERCHANGE |
Structure name | HINGE D TOP SEAT |
Material Information
Material Type | Concrete | The concrete mix design number | S75133 |
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The truck number from where the sample was collected | 351 | The batch plant ticket number from where the sample was collected | 201761 |
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: 2015-05-22-1-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-05-22-1-2 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-05-22-1-3 CTM 521-November 2014 (Verified)