Sample Record

DIME Sample ID 2023-01-13-40

Project Information

Project IdentifiersProject ID: 214663
DEA: 081F7304
EFIS: 0815000034
DIST-CO-RTE-PM08-SBD-215-2.7
Award Date03/04/2021
Closeout Date06/03/2025
Work DescriptionREPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date01/13/2023 Sample Unique Key40
Date that the sample was received by the laboratory/organization performing the testing02/08/2023 Sample typeQuality Assurance
A brief description of the sample4x8 The quantity of what the sample constitutes3
From where was the sample collectedJob Site First name of sampler or witnessed byG
Last name of sampler or witnessed byAlexander Title of samplerTE
Telephone number of sampler Laboratory sample identification1037-55
Linked DIME Sample ID2023-01-13-40 The fabricator/manufacturer/facility nameHoliday Upland
Transportation Laboratory (TL) Number254055 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberNot Provided on TL
The truck number from where the sample was collectedNot Provided on TL The batch plant ticket number from where the sample was collectedNot Provided on TL
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWater Pipe Vault Washington St OC 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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