Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-04-29-4
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Project Information
| Project Identifiers | Project ID: 209732 DEA: 072881U4 EFIS: 0714000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R16.1/R25.8 |
| Award Date | 02/06/2015 |
| Closeout Date | 02/18/2020 |
| Work Description | CONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS. |
| Location Description | LOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 11/04/2014) |
Sample Information
| Sample Taken Date | 04/29/2016 | 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 | 05/04/2016 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | BRAIDY | Last name of sampler or witnessed by | FERNANDEZ |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 927-03 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NATIONAL READY MIX | Transportation Laboratory (TL) Number | 42903 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 210 FWY DUNSMORE TO LOS ROBLES |
| Structure name | APP SLABS EB |
Material Information
| Material Type | Concrete | The concrete mix design number | S72036 |
|---|---|---|---|
| The truck number from where the sample was collected | 393 | The batch plant ticket number from where the sample was collected | 195493 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | WHEEL BARROW | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-04-29-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-04-29-4-2 ASTM C39-17a (Verified)