Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-05-13-6
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Project Information
| Project Identifiers | Project ID: 208714 DEA: 08043514 EFIS: 0800000010 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-58-R22.2/R31.1 |
| Award Date | 12/30/2014 |
| Closeout Date | 08/29/2018 |
| Work Description | REALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY |
| Location Description | HINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD. |
| QA Service Level | 1 (Verified on 03/22/2013) |
Sample Information
| Sample Taken Date | 05/13/2016 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 05/17/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | NP | Last name of sampler or witnessed by | NP |
| Title of sampler | QC TECH TWINING | Telephone number of sampler | Unknown |
| Laboratory sample identification | 915-17 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | LCB 051316-17 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SR 58 EXPRESSWAY AT HINKLEY RD |
| Structure name | STA 1438 00 EB |
Material Information
| Material Type | Concrete | The concrete mix design number | LB16-0022R2 |
|---|---|---|---|
| The truck number from where the sample was collected | NP | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | LOAD 54 | Where the material sample would have been placed if not sampled | SR 58 EB OFF RAMP STAION 1417 PLUS 25 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-05-13-6-1 ASTM C39-17a (Verified)