Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-12-01-26
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994501 DEA: 072XE904 EFIS: 0723000103 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-71-R1.52/1.60 |
| Award Date | 02/16/2023 |
| Closeout Date | 01/11/2024 |
| Work Description | Saw cut around the localized failed area (digouts) to remove the AC pavement, replace with HMA-A and replace any pavement delineation and pavement markers that are removed. |
| Location Description | In Los Angeles County, in the City of Pomona, on both the southbound and northbound directions of LA 71, from Valley Blvd (PM R1.52) to Mission Blvd (PM 1.60). |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 12/01/2023 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 12/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nelson | Last name of sampler or witnessed by | Pereira |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1058-1201 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 796625 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CSC590B33 |
|---|---|---|---|
| The truck number from where the sample was collected | 7174 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete Barrier Transition | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-12-01-26-1 ASTM C39-10 (Verified)
DIME Test ID: 2023-12-01-26-2 ASTM C39-10 (Verified)