Sample Record

DIME Sample ID 2017-09-21-14

Project Information

Project IdentifiersProject ID: 211070
DEA: 080Q3004
EFIS: 0800020191
DIST-CO-RTE-PM08-SBD-138-R17.1/R19.2
Award Date04/18/2016
Closeout Date09/28/2020
Work DescriptionREALIGN SECTION OF STATE ROUTE 138
Location DescriptionNear Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138
QA Service Level1 (Verified on 04/27/2016)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/21/2017 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing09/26/2017 Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylindes The quantity of what the sample constitutes21
From where was the sample collectedJob Site First name of sampler or witnessed byEDDY
Last name of sampler or witnessed bySCOTT Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identification955-921
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameRobertsons Lucerne Valley
Transportation Laboratory (TL) Number0921 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierHOG RANCH ABUTMENT 1 87 PLUS 28 Structure nameHOG RANCH ABUTMENT 1
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberRRM0913
The truck number from where the sample was collected1737 The batch plant ticket number from where the sample was collected2872211
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedCHUTE Where the material sample would have been placed if not sampledHOG RANCH ABUTMENT 1 87 PLUS 28
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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