Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-11-17-8

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 Date11/17/2016 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing11/21/2016
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byHUNG Last name of sampler or witnessed byNgo
Title of samplerASR Telephone number of sampler
Laboratory sample identification889-1117 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number889-1117
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRW Architectual panels

Material Information

Material TypeConcrete The concrete mix design numberS62578
The truck number from where the sample was collected393 The batch plant ticket number from where the sample was collected204026
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedJob site Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-11-17-8-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensFriday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory12/01/2016Friday Ofoegbu
Yes
12/02/2016
2016-11-17-8-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory12/15/2016Matthew Clayton
Yes
12/23/2016

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2016-11-17-8-1 ASTM C39-10 (Verified)
DIME Test ID: 2016-11-17-8-2 ASTM C39-10 (Verified)