Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-12-04-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000501 DEA: 081J6104 EFIS: 0818000102 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-215-40.5/42.7 |
| Award Date | 11/05/2024 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT (RSC), RHMA, AND REPLACE BASE. |
| Location Description | RIVERSIDE COUNTY IN RIVERSIDE FROM 0.8 MILE SOUTH OF ROUTE 60/91 SEPARATION TO 0.4 MILE SOUTH OF MARTIN LUTHER KING BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/02/2024) |
Sample Information
| Sample Taken Date | 12/04/2025 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 12/05/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | BONNIE | Last name of sampler or witnessed by | BLACK |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1081-124 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | VANGUARD | Transportation Laboratory (TL) Number | 1081-124 |
| 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 | NA |
|---|---|---|---|
| The truck number from where the sample was collected | NA | 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 | 215 SB | 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. | |||