Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-05-25-7
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 209732 DEA: 072881U4 EFIS: 0714000085 |
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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 | 05/25/2016 | 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 | 05/31/2016 |
Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinder 6 x 12 |
The quantity of what the sample constitutes | 2 | 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 | 927-C29 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 053116C29 |
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 | S58522 |
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The truck number from where the sample was collected | LOAD 1 | The batch plant ticket number from where the sample was collected | 96701 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
A detailed description of where the material sample was collected | WHEEL BARROW | Where the material sample would have been placed if not sampled | PENNSYLVIAN AVE UC BR NO 53 2310 PM16POINT77 |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2016-05-25-7-1 ASTM C39-17a (Verified)