Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-27-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 3807 DEA: 07121844 EFIS: 0700000117 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-42.8/47.3 |
| Award Date | 12/06/2010 |
| Closeout Date | 06/30/2021 |
| Work Description | CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 02/23/2012) |
Sample Information
| Sample Taken Date | 08/27/2015 | 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 | 09/02/2015 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JAROME | Last name of sampler or witnessed by | YOUNG |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 819-02 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 002 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | WESTERN AVE RIGHT BR CLOSURE POUR |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SM40102 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | 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. | |||