Sample Record

DIME Sample ID 2020-05-29-33

Project Information

Project IdentifiersProject ID: 213764
DEA: 080F0304
EFIS: 0800020358
DIST-CO-RTE-PM08-SBD-60-R0.7/R3.0
Award Date03/07/2019
Closeout Date07/27/2023
Work DescriptionREMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location DescriptionIN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2019)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date05/29/2020 Sample Unique Key33
Date that the sample was received by the laboratory/organization performing the testing06/03/2020 Sample typeQuality Assurance
A brief description of the sampleCONCRETE CYLINDERS The quantity of what the sample constitutesNA
From where was the sample collectedJob Site First name of sampler or witnessed byR
Last name of sampler or witnessed byKim Title of sampler
Telephone number of sampler Laboratory sample identification1003-5293
Linked DIME Sample ID The fabricator/manufacturer/facility nameROBERTSONS
Transportation Laboratory (TL) Number5293 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberRRM18161
The truck number from where the sample was collected1616 The batch plant ticket number from where the sample was collectedLOAD 23
Concrete batch plantROBERTONS The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNA Where the material sample would have been placed if not sampledSTAGE 1 PIPELINE AVE OC ABUTMENT 3 STEM
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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