Sample Record

DIME Sample ID 2023-01-13-14

Project Information

Project IdentifiersProject ID: 994068
DEA: 081C7204
EFIS: 0813000003
DIST-CO-RTE-PM08-SBD-15-R96.1/R124.3
Award Date08/02/2022
Closeout Date02/23/2024
Work DescriptionIMPORTED BORROW, SHOULDER BACKING, AND STRUCTURAL CONCRETE.
Location DescriptionSAN BERNARDINO ABOUT 22 MILES NORTHEAST OF BARSTOW AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF HARVARD ROAD OVERCROSSING TO 0.1 MILE NORTH OF RASOR ROAD OVERCROSSING
QA Service Level1 (Verified on 09/30/2022)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date01/13/2023 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing01/14/2023 Sample typeQuality Assurance
A brief description of the sampleConcrete Cylinders The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byLARRY
Last name of sampler or witnessed byFRANCISCO Title of sampler
Telephone number of sampler Laboratory sample identification1047-03
Linked DIME Sample ID The fabricator/manufacturer/facility nameRobertsons
Transportation Laboratory (TL) Number01 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1610887
The truck number from where the sample was collected1284 The batch plant ticket number from where the sample was collected7420322
Concrete batch plantROBERTSONS BARSTOW The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedI15 MEDIAN NORTH OF HARVARD RD LOAD 1 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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