Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-03-7
Project Information
Project Identifiers | Project ID: 209916 DEA: 07259024 EFIS: 0713000046 |
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DIST-CO-RTE-PM | 07-LA-5,10,91,110,134-Var |
Award Date | 12/31/2014 |
Closeout Date | 08/03/2023 |
Work Description | INSTALL AUSTIN VAULT SAND FILTERS AND BIOFILTRATION SWALE AND STRIPS |
Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 07/09/2015) |
Sample Information
Sample Taken Date | 06/03/2015 | Sample Unique Key | 7 |
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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 | 06/02/2015 |
Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 4 | 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 | 903-03 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 185003 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SB I 110 at Slauson and Manchester |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | 556300 |
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The truck number from where the sample was collected | 273 | The batch plant ticket number from where the sample was collected | Not Provided |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | SB I 110 at Slauson and Manchester | Where the material sample would have been placed if not sampled | Unknown |
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: 2015-06-03-7-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-06-03-7-2 CTM 521-November 2014 (Verified)