Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-04-10
Project Information
Project Identifiers | Project ID: 3951 DEA: 07202114 EFIS: 0700020869 |
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DIST-CO-RTE-PM | 07-LA-710-17.2/26.4 |
Award Date | 04/04/2012 |
Closeout Date | 06/16/2021 |
Work Description | PAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES |
Location Description | LOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING |
QA Service Level | 1 (Verified on 11/27/2012) |
Sample Information
Sample Taken Date | 06/04/2015 | 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 | 07/08/2015 |
Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinder 6 x 12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Ngo |
Title of sampler | TE | Telephone number of sampler | Unknown |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Vulcan |
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 145611 |
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 | NOT PROVIDED |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Barrier at Floral UC | Where the material sample would have been placed if not sampled | Barrier at Floral UC |
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: 2015-06-04-10-1 CTM 521-November 2014 (Verified)