Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-11-09-14
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Project Information
| Project Identifiers | Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-6.7/R25.1 |
| Award Date | 11/26/2019 |
| Closeout Date | 11/01/2023 |
| Work Description | Remove concrete pavement and base, and place HMA and JPCP |
| Location Description | ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON. |
| QA Service Level | 1 (Verified on 01/09/2020) |
Sample Information
| Sample Taken Date | 11/09/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/10/2021 | Sample type | Quality Assurance |
| A brief description of the sample | concrete cylinders | The quantity of what the sample constitutes | 6 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Zacharia |
| Last name of sampler or witnessed by | Roush | Title of sampler | QA Inspector |
| Telephone number of sampler | Laboratory sample identification | 1012-40 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Coffman Specialties, Inc | |
| Transportation Laboratory (TL) Number | 40 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1906-23 |
|---|---|---|---|
| The truck number from where the sample was collected | 100 | The batch plant ticket number from where the sample was collected | 100 |
| Concrete batch plant | Coffman | The fabricator/manufacturer designation for the sample | Coffman |
| A detailed description of where the material sample was collected | Site | Where the material sample would have been placed if not sampled | EB I10 A Station Unavailable upon request LOAD 100 |
| 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: 2021-11-09-14-1 ASTM C39-21 (Verified)