Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2023-02-17-43
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214341 DEA: 081J2004 EFIS: 0817000237 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R21.5/R22.0 |
| Award Date | 11/16/2021 |
| Closeout Date | 10/02/2024 |
| Work Description | EXTEND DECELARATION LANE |
| Location Description | SAN BERNARDINO COUNTY NEAR HESPERIA FROM 0.1 MILE NORTH OF ROUTE 15/138 SEPARATION TO GISH OVERHEAD |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 02/17/2023 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 02/18/2023 |
| Sample type | Quality Assurance | A brief description of the sample | pcc beams rsc |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | larry | Last name of sampler or witnessed by | francisco |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1C | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sully Miller | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM122121 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | LOAD 3 AT 0820AM | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | AT THE JOBSITE | 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: 2023-02-17-43-1 ASTM C293-10 (Verified)