Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2026-04-13-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000028 DEA: 081J8404 EFIS: 0818000121 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40,58,62,95-Var |
| Award Date | 06/28/2024 |
| Closeout Date | Not set |
| Work Description | INSTALL CMS SYSTEM, FURNISH SIGN STRUCTURE, AND SIGN FOUNDATION. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/18/2024) |
Sample Information
| Sample Taken Date | 04/13/2026 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 04/14/2026 |
| 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 | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1076-421 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi Grade | Transportation Laboratory (TL) Number | 1076-421 |
| 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 | Not Provided |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 34006721 |
| Concrete batch plant | Hi Grade | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CIDH Pile Location 6 | 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: 2026-04-13-17-1 ASTM C39-10 (Verified)