Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-07-12-45
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Project Information
| Project Identifiers | Project ID: 215182 DEA: 08476424 EFIS: 0816000186 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215,259-4.0/17.8,0.0/1.5 |
| Award Date | Not set |
| Closeout Date | 01/23/2023 |
| Work Description | INSTALL FIBER OPTIC CABLE SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR SAN BERNARDINO ON ROUTE 215 FROM ROUTE 215/10 SEPARATION TO ROUTE 215/15 SEPARATION AND ON ROUTE 259 FROM ROUTE 259/215 SEPARATION TO ROUTE 259/210 SEPARATION |
| QA Service Level | 1 (Verified on 01/20/2021) |
Sample Information
| Sample Taken Date | 07/12/2021 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 08/02/2021 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Diyar | Last name of sampler or witnessed by | Saadi |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1033-712 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1439 | The batch plant ticket number from where the sample was collected | 6137225 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SB RT 215 Post Mile 12.8 | 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: 2021-07-12-45-1 ASTM C39-18 (Verified)
DIME Test ID: 2021-07-12-45-2 ASTM C39-18 (Verified)