Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2025-04-18-55
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Project Information
| Project Identifiers | Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R20.5/R21.6,R25.5/R30.7 |
| Award Date | 07/13/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 04/18/2025 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 04/18/2025 |
| Sample type | Acceptance | A brief description of the sample | #1-2 Fabricated @ 01:00am |
| The quantity of what the sample constitutes | 1 Set of 3 - 6X6X21 Rapid Set Concrete Beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Zacarias | Last name of sampler or witnessed by | Flores |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1-2 | Linked DIME Sample ID | 2025-04-18-54 |
| The fabricator/manufacturer/facility name | Sequoia Consultants | Transportation Laboratory (TL) Number | |
| 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 | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 19 | The batch plant ticket number from where the sample was collected | 9 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Concrete Truck | Where the material sample would have been placed if not sampled | SB Lane 4 Sta 752+90 - 752+45 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-04-18-55-1 CTM 533-June 2010 (Verified)
DIME Test ID: 2025-04-18-55-2 CTM 504-June 2010 (Verified)
DIME Test ID: 2025-04-18-55-3 CTM 518-June 2010 (Verified)
DIME Test ID: 2025-04-18-55-4 CTM 524-March 2013 (Verified)