Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-03-15-13
Project Information
Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
---|---|
DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
Award Date | 04/26/2021 |
Closeout Date | Not set |
Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 03/15/2022 | Sample Unique Key | 13 |
---|---|---|---|
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 | 03/21/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinder |
The quantity of what the sample constitutes | 6 cylinder | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Wami |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | 1037-862 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Boral | Transportation Laboratory (TL) Number | 1037-862 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | RRM18086 |
---|---|---|---|
The truck number from where the sample was collected | 1648 | The batch plant ticket number from where the sample was collected | 6945118 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | 24 inch CIDH Concrete Piling Cucamonga Creek Bridge Footing | 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: 2022-03-15-13-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-03-15-13-2 ASTM C39-21 (Verified)