Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-04-18-4
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Project Information
| Project Identifiers | Project ID: 212647 DEA: 080Q6904 EFIS: 0800020426 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-330-40.6/43.5 |
| Award Date | 10/26/2017 |
| Closeout Date | 06/23/2021 |
| Work Description | CULVERT REPAIR |
| Location Description | SAN BERNARDINO COUNTY NEAR RUNNING SPRINGS FROM 1.2 MILES SOUTH OF LIVE OAK DRIVE TO 0.6 MILE SOUTH OF ROUTE 18/330 SEPARATION |
| QA Service Level | 1 (Verified on 02/06/2018) |
Sample Information
| Sample Taken Date | 04/18/2018 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 04/20/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 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 | Unknown | Last name of sampler or witnessed by | Cruz |
| Title of sampler | J Dela | Telephone number of sampler | Unknown |
| Laboratory sample identification | 979-1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | NOT PROVIDED | Transportation Laboratory (TL) Number | 01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | CSP PIPE LINING FROM DS 01 TO DS 25 RTE 330 |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | NOT PROVIDED |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | NOT PROVIDED |
| A detailed description of where the material sample was collected | CSP PIPE LINING FROM DS 01 TO DS 25 RTE 330 | Where the material sample would have been placed if not sampled | CSP PIPE LINING FROM DS 01 TO DS 25 RTE 330 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-04-18-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2018-04-18-4-2 ASTM C39-17a (Verified)
DIME Test ID: 2018-04-18-4-3 ASTM C39-17a (Verified)