Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2020-11-23-7

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award Date11/26/2019
Closeout Date11/01/2023
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date11/23/2020 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing11/24/2020 Sample typeQuality Assurance
A brief description of the sampleJPCP beams The quantity of what the sample constitutes4 Beams
From where was the sample collectedJob Site First name of sampler or witnessed byIssac & Ramsey
Last name of sampler or witnessed byHarris & Domani Title of sampler
Telephone number of sampler Laboratory sample identification24JA1, 24JA2, 24JB1, 24JB2
Linked DIME Sample ID The fabricator/manufacturer/facility nameCoffman Specialties, Inc
Transportation Laboratory (TL) Number 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 number1906-2
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedtt
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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