Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-10-12-7
Project Information
Project Identifiers | Project ID: 7428 DEA: 07215944 EFIS: 0700001834 |
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DIST-CO-RTE-PM | 07-LA-5-4.0/5.9 |
Award Date | 08/23/2012 |
Closeout Date | 07/02/2021 |
Work Description | RECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES. |
Location Description | LOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING |
QA Service Level | 1 (Verified on 11/07/2012) |
Sample Information
Sample Taken Date | 10/12/2015 | Sample Unique Key | 7 |
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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 | 10/28/2015 |
Sample type | Verification | A brief description of the sample | LCB |
The quantity of what the sample constitutes | 25 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 5268B | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | 25th Street Crushing Plant | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
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The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | The Belt from 25th Street Crushing Plant |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |