Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-04-20-4
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Project Information
| Project Identifiers | Project ID: 212688 DEA: 080Q8904 EFIS: 0800020582 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV,SBD-10,215,111-Var |
| Award Date | 11/17/2017 |
| Closeout Date | 06/23/2021 |
| Work Description | BRIDGE REHABILITATION |
| Location Description | RIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 02/28/2018) |
Sample Information
| Sample Taken Date | 04/20/2018 | 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 | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arnel | Last name of sampler or witnessed by | Vega |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 980-24 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 20180424 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | ETIWANDA SAN DERAINE FCC | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | YOCSSC3 |
|---|---|---|---|
| The truck number from where the sample was collected | NP | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | PLANT |
| A detailed description of where the material sample was collected | TRUCK 1 | Where the material sample would have been placed if not sampled | SUPPORT SLAB |
| 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: 2018-04-20-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2018-04-20-4-2 ASTM C39-17a (Verified)