Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-07-2
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Project Information
| Project Identifiers | Project ID: 210352 DEA: 072W9204 EFIS: 0714000321 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-29.4,29.5 |
| Award Date | 05/07/2015 |
| Closeout Date | 12/08/2015 |
| Work Description | TREAT BRIDGE DECK AND REPLACE JOINT SEALS. |
| Location Description | LOS ANGELES COUNTY IN EL MONTE AT PECK ROAD UNDERCROSSING AND AT VALLEY BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/22/2015) |
Sample Information
| Sample Taken Date | 08/07/2015 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/07/2015 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 8 | 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 | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 916-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 10001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | VALLEY BLVD OC |
| Structure name | EB AND WB 4FOOT CLOUSURE |
Material Information
| Material Type | Concrete | The concrete mix design number | 3FX50X001 |
|---|---|---|---|
| The truck number from where the sample was collected | 367 | The batch plant ticket number from where the sample was collected | 111010106 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2015-08-07-2-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-08-07-2-2 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-08-07-2-3 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-08-07-2-4 CTM 521-November 2014 (Verified)