Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-21-7
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Project Information
| Project Identifiers | Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-34.7/51.6 |
| Award Date | 04/17/2017 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT |
| Location Description | Riverside County and SBD-15-0.0/1.3 |
| QA Service Level | 1 (Verified on 05/08/2017) |
Sample Information
| Sample Taken Date | 10/21/2019 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 10/23/2019 |
| Sample type | Quality Assurance | A brief description of the sample | (4) 6 x 12 concrete cylinders |
| The quantity of what the sample constitutes | (4) 6x12 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dominic | Last name of sampler or witnessed by | Montemayor |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 974-122 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Security Paving Company | Transportation Laboratory (TL) Number | 122 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | I15 SW Connector to 91 Sta 2219 00 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-18-LCB-139 |
|---|---|---|---|
| The truck number from where the sample was collected | 25 | The batch plant ticket number from where the sample was collected | 136225 |
| Concrete batch plant | Security Paving Company | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Wheel Barrow from Chute | Where the material sample would have been placed if not sampled | I15 SW Connector to 91 Sta 2219 00 |
| 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: 2019-10-21-7-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-10-21-7-2 ASTM C39-10 (Verified)