Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-21-13
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Project Information
| Project Identifiers | Project ID: 213477 DEA: 080H4704 EFIS: 0812000074 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-2-2.44 |
| Award Date | 09/28/2018 |
| Closeout Date | 01/18/2022 |
| Work Description | WIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS |
| Location Description | AT WRIGHTWOOD AT SHEEP CREEK BRIDGE |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 11/21/2019 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 11/22/2019 |
| 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 | MD | Last name of sampler or witnessed by | Rahman |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1002-1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ROBERTSONS LUCERNE | Transportation Laboratory (TL) Number | 1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | SHEEP CREEK BRIDGE | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM19026 |
|---|---|---|---|
| The truck number from where the sample was collected | 1247 1713 | The batch plant ticket number from where the sample was collected | 4827330 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Beador Construction |
| A detailed description of where the material sample was collected | 30CY | Where the material sample would have been placed if not sampled | SHEEP CREEK BRIDGE |
| 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: 2019-11-21-13-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-11-21-13-2 ASTM C39-10 (Verified)