Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-10-10-12
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Project Information
| Project Identifiers | Project ID: 213367 DEA: 081H5104 EFIS: 0817000070 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-18,138-138PM37.6,18PM20.5 |
| Award Date | 06/11/2018 |
| Closeout Date | 05/13/2019 |
| Work Description | INSTALL CMS SIGNS |
| Location Description | IN SAN BERNARDINO COUNTY IN SAN BERNARDINO AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/15/2018) |
Sample Information
| Sample Taken Date | 10/10/2018 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 10/13/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | md | Last name of sampler or witnessed by | RAHMAN |
| Title of sampler | asr | Telephone number of sampler | Unknown |
| Laboratory sample identification | 989-1010 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS REDLAND | Transportation Laboratory (TL) Number | 101018 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | CIDH SIGN FOUNDATION AT 18 |
| Structure name | CIDH SIGN FOUNDATION AT 18 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | sc590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1249 | The batch plant ticket number from where the sample was collected | 3610331 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | peterson chase constructon |
| A detailed description of where the material sample was collected | 17 CY | Where the material sample would have been placed if not sampled | CIDH SIGN FOUNDATION AT 18 |
| 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: 2018-10-10-12-1 ASTM C39-10 (Verified)