Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2025-12-02-60

Project Information

Project IdentifiersProject ID: 1000081
DEA: 081J5404
EFIS: 0818000069
DIST-CO-RTE-PM08-SBD-15-2.4
Award Date04/02/2025
Closeout DateNot set
Work DescriptionCB, JPCP (RSC), STRUCTURAL CONCRETE AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionSAN BERNARDINO COUNTY IN ONTARIO AT ROUTE 10/15 SEPARATION
QA Service Level1 (Verified on 02/06/2024)

Sample Information

Sample Taken Date12/02/2025 Sample Unique Key60
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 testing12/02/2025
Sample typeAcceptance A brief description of the sampleStructural Backfill
The quantity of what the sample constitutes29.0 KG From where was the sample collectedJob Site
First name of sampler or witnessed byMaryAnna Last name of sampler or witnessed byLandaverde
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2025-12-01-54
The fabricator/manufacturer/facility nameCTM 231 Test Locations Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sample
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedI-15 SB to I-10 EB Connector, Retaining Wall 302 Footing, Sta 134+04 - 135+42
Where the material sample would have been placed if not sampled

Submitted Tests

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