Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-08-10-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000889 DEA: 081M7404 EFIS: 0822000036 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-210-1.2/1.6 |
| Award Date | 03/12/2025 |
| Closeout Date | Not set |
| Work Description | JPCP (RSC), RDWY EXC, LCB RAPID SETTING, & HMA (TYPE A). |
| Location Description | SANBERNARDINO COUNTY IN UPLAND FROM 0.3 MILE WEST TO 0.1 MILE EAST OF MOUNTAIN AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 08/10/2025 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 07/11/2025 |
| 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 | Dylan | Last name of sampler or witnessed by | Nault |
| Title of sampler | CT TET | Telephone number of sampler | |
| Laboratory sample identification | G081025-5 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | G081025-5 |
| 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 | 1621261 FLEX |
|---|---|---|---|
| The truck number from where the sample was collected | 67834 | The batch plant ticket number from where the sample was collected | 31705037 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | RTE 210 FROM 0.3 MI W. TO 0.1 MI E. OF Mtn. Ave. OC | 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: 2025-08-10-13-1 ASTM C39-10 (Verified)