Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-07-07-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209356 DEA: 07278204 EFIS: 0700000538 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,110,118,134,210,710-Var |
| Award Date | 04/18/2014 |
| Closeout Date | 07/13/2016 |
| Work Description | UPGRADE CURB RAMPS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 10/31/2014) |
Sample Information
| Sample Taken Date | 07/07/2015 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 07/10/2015 |
| Sample type | Quality Assurance | 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 | Cardiel | Last name of sampler or witnessed by | Bugarin |
| Title of sampler | Structure Representative | Telephone number of sampler | Unknown |
| Laboratory sample identification | 912-01F | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 10001F |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 53 1748 |
| Structure name | Central Ave OC Curb Ramp on Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 4813181 | The batch plant ticket number from where the sample was collected | 9700275 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Plant |
| A detailed description of where the material sample was collected | Truck | Where the material sample would have been placed if not sampled | South East corner Curb Ramp |
| 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: 2015-07-07-4-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-07-07-4-2 CTM 521-November 2014 (Verified)