Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-14-1
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Project Information
| Project Identifiers | Project ID: 210012 DEA: 080M2004 EFIS: 0800000467 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-371-67.7/72.9 |
| Award Date | 01/28/2015 |
| Closeout Date | 11/29/2016 |
| Work Description | CONSTRUCT SHOULDER/RETAINING WALL ON BOTH DIRECTIONS OF ROUTE 371 |
| Location Description | RIVERSIDE COUNTY NEAR ANZA AND CAHUILLA FROM EAST OF CARY ROAD TO EAST OF KIRBY ROAD |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 08/14/2015 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 08/18/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | amit | Last name of sampler or witnessed by | joshi |
| Title of sampler | sr | Telephone number of sampler | Unknown |
| Laboratory sample identification | 911-2 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | job | Transportation Laboratory (TL) Number | 2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | HWY 371 |
| Structure name | HEADWALL AND WINGWALLS DRAINAGE SYST 2 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | D9358 |
|---|---|---|---|
| The truck number from where the sample was collected | 13 | The batch plant ticket number from where the sample was collected | 90813 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-08-14-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2015-08-14-1-2 ASTM C39-17a (Verified)