Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2023-04-06-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214437 DEA: 07323104 EFIS: 0716000061 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R36.0/R40.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PSR-TMDL |
| Location Description | LOS ANGELES COUNTY IN IRWINDALE AND AZUSA FROM 0.1 MILE EAST HIGHLAND AVENUE UNDERCROSSING TO SOUTH CITRUS AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 06/30/2021) |
Sample Information
| Sample Taken Date | 04/06/2023 | Sample Unique Key | 10 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/06/2023 |
| Sample type | Quality Control | A brief description of the sample | 1 |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | 1 | Last name of sampler or witnessed by | 1 |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | 1 | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 1 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | 1 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
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. | |||