Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-10-11-47
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993815 DEA: 081C0814 EFIS: 0816000086 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R60.7/R74.3 |
| Award Date | 03/28/2022 |
| Closeout Date | Not set |
| Work Description | I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT |
| Location Description | Coachella |
| QA Service Level | 1 (Verified on 05/03/2022) |
Sample Information
| Sample Taken Date | 10/11/2023 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 10/16/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Jardiolin |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1051-45 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi Grade Materials Indio | Transportation Laboratory (TL) Number | 45 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | Not Provided |
|---|---|---|---|
| The truck number from where the sample was collected | 295 | The batch plant ticket number from where the sample was collected | 871173 |
| Concrete batch plant | Not Provided | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | ECHO DITCH BRIDGE | 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: 2023-10-11-47-1 ASTM C39-21 (Verified)