Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-11-24-16
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Project Information
| Project Identifiers | Project ID: 209453 DEA: 080J8504 EFIS: 0800000324 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138-R24.1 |
| Award Date | 07/01/2014 |
| Closeout Date | 07/05/2017 |
| Work Description | REPLACE EXISTING BRIDGE. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT HORSETHIEF CREEK BRDIGE |
| QA Service Level | 1 (Verified on 04/16/2014) |
Sample Information
| Sample Taken Date | 11/24/2015 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 12/07/2015 |
| Sample type | Quality Control | 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 | MD | Last name of sampler or witnessed by | RAHMAN |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 901-04B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Holliday Rock | Transportation Laboratory (TL) Number | 789104B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | HORSETHIEF CREEK BR REPLACE |
| Structure name | STAGE2 PILE3 AT ABUTMENT 1 |
Material Information
| Material Type | Concrete | The concrete mix design number | 4F50X001 |
|---|---|---|---|
| The truck number from where the sample was collected | 630 | The batch plant ticket number from where the sample was collected | 109001196 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | MIXER | 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: 2015-11-24-16-1 ASTM C39-17a (Verified)