DIME - Sample Record for DIME Sample ID 2016-09-07-1

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-09-07-1

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Project Information

Project Identifiers	Project ID: 7613 DEA: 071218W4 EFIS: 0700021119
DIST-CO-RTE-PM	07-LA-5-29.4/31.6
Award Date	11/29/2012
Closeout Date	07/31/2023
Work Description	REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description	LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date	09/07/2016	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	09/09/2016
Sample type	Quality Assurance	A brief description of the sample	6x12
The quantity of what the sample constitutes	8	From where was the sample collected	Job Site
First name of sampler or witnessed by	HUNG	Last name of sampler or witnessed by	NGO
Title of sampler	ASR	Telephone number of sampler	Unknown
Laboratory sample identification	889-09F	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	NATIONAL READY MIX	Transportation Laboratory (TL) Number	2016-09F
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	RW 1613
Structure name	BURBANK WESTERN CHANNEL PRECAST PRESTESSED DECK PANELS GROUP 12

Material Information

Material Type	Concrete	The concrete mix design number	S72035
The truck number from where the sample was collected	394	The batch plant ticket number from where the sample was collected	201026
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	BURBANK WESTERN CHANNEL PRECAST PRESTESSED DECK PANELS GROUP 12
From Lot No.	Unknown	Bag Lot No.	Unknown

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2016-09-07-1-1	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Friday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory	09/09/2016	Friday Ofoegbu	Yes	09/12/2016
2016-09-07-1-2	ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Matthew Clayton, CT D08 - Fontana Southern Regional Laboratory	09/10/2016	Matthew Clayton	Yes	10/05/2016
2016-09-07-1-3	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Matthew Clayton, CT D08 - Fontana Southern Regional Laboratory	10/05/2016	Matthew Clayton	Yes	10/05/2016
2016-09-07-1-4	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Matthew Clayton, CT D08 - Fontana Southern Regional Laboratory	10/19/2016	Matthew Clayton	Yes	10/19/2016

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2016-09-07-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-09-07-1-2 ASTM C39-10 (Verified)
DIME Test ID: 2016-09-07-1-3 ASTM C39-17a (Verified)
DIME Test ID: 2016-09-07-1-4 ASTM C39-17a (Verified)