Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-04-12-1

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout DateNot set
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date04/12/2016 Sample Unique Key1
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 testing04/13/2016
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinder 6 x 12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrennon
Title of samplerQA Inspector Telephone number of sampler949-394-2529
Laboratory sample identification816-16 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNot provided Transportation Laboratory (TL) NumberL48-PCP1-4-16
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSF474B39
The truck number from where the sample was collected12 The batch plant ticket number from where the sample was collected1514043
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedBack of the truck Where the material sample would have been placed if not sampledProcast products Inc
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.