Sample Record

DIME Sample ID 2015-05-26-2

Project Information

Project IdentifiersProject ID: 209511
DEA: 080Q7403
EFIS: 0800020456
DIST-CO-RTE-PM08-SBD-15-15.4/30.8
Award Date10/29/2013
Closeout DateNot set
Work DescriptionDesign Build project provides pavement rehabilitation (including ramps) on I-15 near Cajon Pass, CA.
Location DescriptionOn I-15 from 0.4 mile north of Kenwood Avenue to 0.3 mile south of West Hesperia OH
QA Service Level1 (Verified on 04/03/2014)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date05/26/2015 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing05/28/2015 Sample typeQuality Control
A brief description of the sample6X12 The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byJOSE
Last name of sampler or witnessed byDIAZ Title of samplerTET
Telephone number of samplerUnknown Laboratory sample identification888-26
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameJOB
Transportation Laboratory (TL) NumberLCB 26 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierCAJON PASS Structure nameSBD I15 PM R15 4 TO 30 8
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1202-8
The truck number from where the sample was collected67 The batch plant ticket number from where the sample was collected31
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 31 Where the material sample would have been placed if not sampledUnknown
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

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