Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-06-17-55
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000661 DEA: 081J2704 EFIS: 0818000014 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-247-0.0/23.0 |
| Award Date | 01/31/2025 |
| Closeout Date | Not set |
| Work Description | RUBBERIZED HMA, HMA (TYPE A), COLD PLANE AC PVMT & REPLACE AC SURF. |
| Location Description | SAN BERNARDINO COUNTY IN YUCCA VALLEY FROM ROUTE 62 TO 0.4 MILE WEST OF GIN ROAD |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 06/17/2025 | 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 | 06/18/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | TPF | Last name of sampler or witnessed by | NA |
| Title of sampler | NA | Telephone number of sampler | |
| Laboratory sample identification | 1077-617B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SULLY MILLER | Transportation Laboratory (TL) Number | 1077-617B |
| 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 | 2010-007 |
|---|---|---|---|
| The truck number from where the sample was collected | 118 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SB PM 5 MAINLINE 15' N. OF START | Where the material sample would have been placed if not sampled | |
| 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: 2025-06-17-55-1 ASTM C39-10 (Verified)