Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-12-10-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000663 DEA: 081J3304 EFIS: 0818000019 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD, -15-160.9/161.5 |
| Award Date | 12/24/2024 |
| Closeout Date | Not set |
| Work Description | BUILDING WORK. |
| Location Description | SAN BERNARDINO COUNTY NEAR MOUNTAIN PASS FROM 0.2 MILE SOUTH TO 0.4 MILE NORTH OF VALLEY WELLS SAFETY ROADSIDE REST AREA |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 12/10/2025 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 12/12/2025 |
| Sample type | Quality Assurance | A brief description of the sample | CONCRETE CYLINDERS |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RUBEN | Last name of sampler or witnessed by | ROMERO |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1086-1210 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | HI GRADE | Transportation Laboratory (TL) Number | 1086-1210 |
| 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 | N |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 8017977 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | NB AND SB VALLEY WELLS REST AREA CONCRETE SLABS | 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: 2025-12-10-27-1 ASTM C39-10 (Verified)