Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-05-03-6
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Project Information
| Project Identifiers | Project ID: 210397 DEA: 074T7304 EFIS: 0714000211 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-41.7 |
| Award Date | 06/03/2015 |
| Closeout Date | 07/05/2017 |
| Work Description | REALIGN EXISTING SOUND WALL AT RAMP TERMINUS. |
| Location Description | LOS ANGELES AT SOUTHBOUND ROUTE 405 TO VICTORY BOULEVARD OFF-RAMP |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 05/03/2016 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 05/11/2016 |
| 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 | DAVID | Last name of sampler or witnessed by | BARON |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 931-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | VICTORY BLVD OFF RAMP |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SM400B39 |
|---|---|---|---|
| The truck number from where the sample was collected | NP | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | 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: 2016-05-03-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-05-03-6-2 ASTM C39-17a (Verified)