Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-07-02-4

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS 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 Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date07/02/2015 Sample Unique Key4
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 testing07/07/2015
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byWalter Last name of sampler or witnessed byPereira
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-20 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number41775420
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameSW 1888 OH sign 13 B CIDH conc Pile

Material Information

Material TypeConcrete The concrete mix design number1570340
The truck number from where the sample was collected6831 The batch plant ticket number from where the sample was collected259949709
Concrete batch plant4475A The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedTruck Where the material sample would have been placed if not sampledSW 1888 OH sign 13 B CIDH conc Pile
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-07-02-4-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory07/09/2015Matthew Clayton
Yes
07/09/2015
2015-07-02-4-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory07/30/2015Matthew Clayton
Yes
08/12/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-07-02-4-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-07-02-4-2 CTM 521-November 2014 (Verified)