Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-06-21-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date06/21/2016 Sample Unique Key12
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 testing06/27/2016
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byRICK Last name of sampler or witnessed byJENSEN
Title of samplerMATERIAL INSPECTOR Telephone number of samplerUnknown
Laboratory sample identification889-1B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNATIONAL READY MIX Transportation Laboratory (TL) Number1A
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure namePUMP HOUSE

Material Information

Material TypeConcrete The concrete mix design numberS74021
The truck number from where the sample was collected475 The batch plant ticket number from where the sample was collected197869
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNOT PROVIDED Where the material sample would have been placed if not sampledPUMP HOUSE NE AND SE CORNERS AND WEST CENTER PUMP HOUSE WALLS NEAR RW 1613 AND RAILROAD TRACKS
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-06-21-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory06/28/2016Matthew Clayton
Yes
06/28/2016
2016-06-21-12-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory07/19/2016Matthew Clayton
Yes
07/19/2016
2016-06-21-12-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Mendez, CT D08 - Fontana Southern Regional Laboratory08/02/2016Jose Mendez
Yes
08/02/2016

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2016-06-21-12-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-06-21-12-2 ASTM C39-17a (Verified)
DIME Test ID: 2016-06-21-12-3 ASTM C39-17a (Verified)