Sample Record

DIME Sample ID 2017-12-18-15

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout Date01/18/2022
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date12/18/2017 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing12/20/2017 Sample typeQuality Assurance
A brief description of the sample6X12 The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byRAVINDER
Last name of sampler or witnessed bySINGH Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identification934-218
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameROBERTSONS
Transportation Laboratory (TL) Number20171218 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierBent cap 5 at victorville oh widen and new Structure nameBent cap 5 at victorville oh widen and new
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberSC675B38
The truck number from where the sample was collectedNP The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedBent cap 5 at victorville oh widen and new Where the material sample would have been placed if not sampledBent cap 5 at victorville oh widen and new
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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