Sample Record

DIME Sample ID 2016-02-02-3

Project Information

Project IdentifiersProject ID: 209217
DEA: 080F5404
EFIS: 0800000136
COOP: 081468
DIST-CO-RTE-PM08-RIV-91,15-0.0/13.04, 35.64/45.14
Award Date09/09/2013
Closeout Date09/20/2023
Work DescriptionSR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
QA Service Level1 (Verified on 08/07/2014)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date02/02/2016 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing02/07/2017 Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylindes The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byD
Last name of sampler or witnessed byTran Title of samplerTE
Telephone number of samplerUnknown Laboratory sample identification888-SRL399
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameHOLIDAY ROCK
Transportation Laboratory (TL) NumberSRL 389 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameBR 26 BENT 6 TO 9 RETROFIT
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4H40X006
The truck number from where the sample was collected370 The batch plant ticket number from where the sample was collected118058230
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow. Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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