Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-12-08-3
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Project Information
| Project Identifiers | Project ID: 210088 DEA: 074X3804 EFIS: 0715000168 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110-23.2/23.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair damaged highway and roadside facility |
| Location Description | LA-110 at the 101/10 & 5 connectors , in downtown LA |
| QA Service Level | 1 (Verified on 12/03/2015) |
Sample Information
| Sample Taken Date | 12/08/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/15/2015 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinder 6 x 12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gizachew | Last name of sampler or witnessed by | Abayneh |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 928-C3 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | LEHIGH | Transportation Laboratory (TL) Number | A1B2C3 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237SP |
|---|---|---|---|
| The truck number from where the sample was collected | 331 | The batch plant ticket number from where the sample was collected | 4E07 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Plant |
| A detailed description of where the material sample was collected | CHUTE | Where the material sample would have been placed if not sampled | NB 110 RIGHT POST STA 1242 plus 30 |
| 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: 2015-12-08-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2015-12-08-3-2 ASTM C39-17a (Verified)