Sample Record

DIME Sample ID 2017-07-25-7

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout Date01/18/2022
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/25/2017 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes7.6 CY in Girder G16 and G25
From where was the sample collectedFabricator First name of sampler or witnessed byDavid
Last name of sampler or witnessed byWeeks Title of samplerCT METS QA INSPECTOR
Telephone number of sampler951-258-8382 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameOldcastle Precast, Perris
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierGirder G16 and G25 Structure nameBridge Number 54_0484
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberUV-273-1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected56419
Concrete batch plantOnsite The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed A2 Where the material sample would have been placed if not sampledGirder G16 and G25
From Lot No. Bag Lot No.

Submitted Tests

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