Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-10-29-34
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Project Information
| Project Identifiers | Project ID: 1000681 DEA: 081J7204 EFIS: 0818000099 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-S0.0/S0.8,0.0/R15.0 |
| Award Date | 01/17/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE AC SURFACING, COLD PLANE AC PAVEMENT, HMA, RSP, AND MGS. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM 0.1 MILE WEST OF ROBERTA STREET TO MONTARA ROAD AND FROM ROUTE 15 TO 0.4 MILE EAST OF LAVA WASH BRIDGE |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 10/29/2025 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 10/31/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4X8 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chijoke | Last name of sampler or witnessed by | OKOROANYANWU |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1082-1029 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 081J720420251029 |
| 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 | SC590B33 |
|---|---|---|---|
| The truck number from where the sample was collected | 2458 | The batch plant ticket number from where the sample was collected | 567437 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete Barrier Transition - Various | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||