Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-09-02-4
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Project Information
| Project Identifiers | Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-12.5/14.8 |
| Award Date | 12/23/2019 |
| Closeout Date | 01/18/2022 |
| Work Description | REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
| Sample Taken Date | 09/02/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 09/03/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | Inspector | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pro-cast Prodcuts Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133-135-20 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | PRO2 0000 |
|---|---|---|---|
| The truck number from where the sample was collected | 3rd Truck Load | The batch plant ticket number from where the sample was collected | 5735488 |
| Concrete batch plant | Robertsons Redlands | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | At casting bed | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-02-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2020-09-02-4-2 ASTM C39-17a (Verified)