Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-03-16
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Project Information
| Project Identifiers | Project ID: 3825 DEA: 07138204 EFIS: 0700000142 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47,103-3.5/4.6,0.0/1.1 |
| Award Date | 06/30/2011 |
| Closeout Date | 07/14/2022 |
| Work Description | REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS. |
| Location Description | LOS 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 Level | 1 (Verified on 03/29/2012) |
Sample Information
| Sample Taken Date | 06/03/2016 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 06/13/2016 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | TAI | Last name of sampler or witnessed by | DIEP |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 816-59 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NATIONAL READY MIX | Transportation Laboratory (TL) Number | 193059 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SCHUYLER HEIM BRIDGE |
| Structure name | FRAME 2 STEM AND SOFFIT |
Material Information
| Material Type | Concrete | The concrete mix design number | S75099 |
|---|---|---|---|
| The truck number from where the sample was collected | 453 | The batch plant ticket number from where the sample was collected | 181719 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | 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: 2016-06-03-16-1 ASTM C39-17a (Verified)