Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-12-07-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 12/07/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/09/2022 | 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 | Edwardo |
| Last name of sampler or witnessed by | Gomez | Title of sampler | QA Inspector |
| Telephone number of sampler | Laboratory sample identification | 1015-1207 | |
| Linked DIME Sample ID | 2022-12-07-17 | The fabricator/manufacturer/facility name | Lane Security Joint Venture |
| Transportation Laboratory (TL) Number | 1 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1613385 |
|---|---|---|---|
| The truck number from where the sample was collected | 10064186 | The batch plant ticket number from where the sample was collected | 52261072 |
| Concrete batch plant | Cemex Corona | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Elc Frame 3 - 2 Span 10 and 11 Deck Pour Load 17 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||