Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-06-20-22
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Project Information
| Project Identifiers | Project ID: 209695 DEA: 08347704 EFIS: 0800000616 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-SR-58-0/12.9 |
| Award Date | 11/10/2017 |
| Closeout Date | 01/14/2021 |
| Work Description | (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395. |
| Location Description | SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395. |
| QA Service Level | 1 (Verified on 12/01/2017) |
Sample Information
| Sample Taken Date | 06/20/2019 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 06/22/2019 |
| 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 | Philip | Last name of sampler or witnessed by | Maquiran |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 976-620B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Kiewitt Plant | Transportation Laboratory (TL) Number | 062019B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | eb mainline sta 669 50 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | LB18-0031 |
|---|---|---|---|
| The truck number from where the sample was collected | na | The batch plant ticket number from where the sample was collected | 19359 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | KIEWITT |
| A detailed description of where the material sample was collected | 2020 cy | Where the material sample would have been placed if not sampled | eb mainline sta 669 50 |
| 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: 2019-06-20-22-1 ASTM C39-10 (Verified)