Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-07-24-1
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Project Information
| Project Identifiers | Project ID: 210887 DEA: 07243204 EFIS: 0714000274 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-39.4/R88.6 |
| Award Date | 12/23/2015 |
| Closeout Date | 06/22/2017 |
| Work Description | REPLACE OVERHEAD SIGN PANELS TO TYPE XI RETROREFLECTIVE SIGNS. |
| Location Description | IN LOS ANGELES COUNTY, BETWEEN SR-170 AND KERN COUNTY LINE |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 07/24/2016 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/01/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| 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 | Str Rep | Telephone number of sampler | Unknown |
| Laboratory sample identification | 940-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | National | Transportation Laboratory (TL) Number | 940-01 |
| 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 | s63061 |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 703446 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Site | Where the material sample would have been placed if not sampled | CIDH Pile for Sign Str |
| 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: 2016-07-24-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-07-24-1-2 ASTM C39-17a (Verified)