Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-07-22-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 3951 DEA: 07202114 EFIS: 0700020869 |
|---|---|
| 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 | 07/22/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/28/2015 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JAMES | Last name of sampler or witnessed by | HOLLAWAY |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 837-52 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 134652 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | NOT PROVIDED |
| Structure name | NOT PROVIDED |
Material Information
| Material Type | Concrete | The concrete mix design number | NOT PROVIDED |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDE | 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 | NOT PROVIDED | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||