Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-09-16-10
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Project Information
| Project Identifiers | Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-6.0-9.4 |
| Award Date | 09/02/2011 |
| Closeout Date | Not set |
| Work Description | Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing. |
| Location Description | Port of Long Beach (District 7) |
| QA Service Level | 1 (Verified on 06/03/2013) |
Sample Information
| Sample Taken Date | 09/16/2016 | Sample Unique Key | 10 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/21/2016 | Sample type | Quality Assurance |
| A brief description of the sample | concrete cylinders | The quantity of what the sample constitutes | 2 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | angelo |
| Last name of sampler or witnessed by | perez | Title of sampler | ASSISTANT IQA ENGINEER |
| Telephone number of sampler | Unknown | Laboratory sample identification | 866-60A |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | A and A |
| Transportation Laboratory (TL) Number | 0916160A-Tower 17 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Unknown | Structure name | Unknown |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | sfi scc |
|---|---|---|---|
| The truck number from where the sample was collected | 0436 | The batch plant ticket number from where the sample was collected | 19010431 |
| 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 | lift 12 elev 211 54 to 224 54 |
| 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: 2016-09-16-10-1 ASTM C39-17a (Verified)