Sample Record

DIME Sample ID 2016-04-22-1

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/22/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing04/25/2016 Sample typeQuality Control
A brief description of the sample6X12 The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byMIKE
Last name of sampler or witnessed byNUNEZ Title of samplerQC TWINING
Telephone number of samplerUnknown Laboratory sample identification915-16B
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameROBERTSONS
Transportation Laboratory (TL) NumberLCB-042216B Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierSR 58 Structure nameAT HINKLEY
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberLB16-0022R2
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected20008
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 20 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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