Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-06-07-8
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Project Information
| Project Identifiers | Project ID: 211600 DEA: 081E0104 EFIS: 0813000117 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-37.8/40.2 |
| Award Date | 09/20/2016 |
| Closeout Date | 08/29/2018 |
| Work Description | CONSTRUCT CONCRETE BARRIER |
| Location Description | SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.2 MILE NORTH OF BEAR VALLEY OVERCROSSING TO 0.3 MILE SOUTH OF PALMDALE ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/21/2016) |
Sample Information
| Sample Taken Date | 06/07/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 testing | 06/13/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | LARRY | Last name of sampler or witnessed by | F |
| Title of sampler | TE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 959-717 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 060717 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | K RAIL |
| Structure name | K RAIL |
Material Information
| Material Type | Concrete | The concrete mix design number | NOT PROVIDED |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | jobsite | Where the material sample would have been placed if not sampled | K RAIL STA 568 00 NB |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-07-8-1 ASTM C39-17a (Verified)