Sample Record
DIME Sample ID 2015-04-22-1
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Project Information
| Project Identifiers | Project ID: 209511 DEA: 080Q7403 EFIS: 0800020456 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-15.4/30.8 |
| Award Date | 10/29/2013 |
| Closeout Date | Not set |
| Work Description | Design Build project provides pavement rehabilitation (including ramps) on I-15 near Cajon Pass, CA. |
| Location Description | On I-15 from 0.4 mile north of Kenwood Avenue to 0.3 mile south of West Hesperia OH |
| QA Service Level | 1 (Verified on 04/03/2014) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 04/22/2015 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/24/2015 | Sample type | Verification |
| A brief description of the sample | 6X12 | The quantity of what the sample constitutes | 2 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | JOSEPH |
| Last name of sampler or witnessed by | ATAEI | Title of sampler | IQA FIELD INSPECTOR |
| Telephone number of sampler | Unknown | Laboratory sample identification | 878-15 |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Collected at jobsite |
| Transportation Laboratory (TL) Number | LCB 15 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | STA 491 80 TO 451 10 | Structure name | NB SEG 2 LANE 4 AND 5 SHOULDER |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1202-8 |
|---|---|---|---|
| The truck number from where the sample was collected | 28 | The batch plant ticket number from where the sample was collected | 68 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||