Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-01-30-18

Project Information

Project IdentifiersProject ID: 1000903
DEA: 081M0404
EFIS: 0821000091
DIST-CO-RTE-PM08-SBD-40-R140.0/R142.2
Award Date06/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location DescriptionSAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date01/30/2026 Sample Unique Key18
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 testing02/04/2026
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byHyung Last name of sampler or witnessed byKim
Title of sampler Telephone number of sampler
Laboratory sample identification1084-130 Linked DIME Sample ID
The fabricator/manufacturer/facility nameINTERSTATE CIVIL Transportation Laboratory (TL) Number081M0420260130
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberNOT PROVIDED
The truck number from where the sample was collected4900 The batch plant ticket number from where the sample was collectedna
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete Barrier Transition Various Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments