Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-17-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209916 DEA: 07259024 EFIS: 0713000046 |
|---|---|
| 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 | 06/17/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 06/22/2015 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | None | Last name of sampler or witnessed by | None |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 903-04 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Associated | Transportation Laboratory (TL) Number | 185004 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 556300 |
|---|---|---|---|
| The truck number from where the sample was collected | 273 | The batch plant ticket number from where the sample was collected | Not Included |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | SB I110 Slauson and MAnchester |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-06-17-3-1 CTM 521-November 2014 (Verified)