Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-12-07-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date12/07/2016 Sample Unique Key2
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 testing12/09/2016
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byOSCAR Last name of sampler or witnessed byRODRIGUEZ
Title of samplerASR TEC Telephone number of samplerUnknown
Laboratory sample identification882-949 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHOLLIDAY Transportation Laboratory (TL) Number101090949
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameCAMERON AVE UC

Material Information

Material TypeConcrete The concrete mix design numberCM5645
The truck number from where the sample was collected195 The batch plant ticket number from where the sample was collected101090949
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedTRUCK Where the material sample would have been placed if not sampledCAMERON AVE UC ABUT 1L STEM AND RETURN WALL
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-12-07-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory12/12/2016Matthew Clayton
Yes
12/12/2016
2016-12-07-2-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory01/04/2017Matthew Clayton
Yes
01/04/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2016-12-07-2-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-12-07-2-2 ASTM C39-17a (Verified)