Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2019-09-16-17
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Project Information
| Project Identifiers | Project ID: 213551 DEA: 080K2934 EFIS: 0812000100 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-R36.8/R39.2 |
| Award Date | 11/09/2018 |
| Closeout Date | 09/15/2021 |
| Work Description | PAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT |
| Location Description | SAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 09/16/2019 | 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 | 09/17/2019 |
| Sample type | Department Acceptance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 4 Beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ANH | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 6A1, 6A2, 6B1, 6B2 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Coffman Specialties, Inc | Transportation Laboratory (TL) Number | |
| 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 | 1810-2 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | TT1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | On Job Site at Concrete Truck | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2019-09-16-17-1 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-09-16-17-2 CTM 523-July 2012 (Verified)