Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-11-08-66
Project Information
Project Identifiers | Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 |
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DIST-CO-RTE-PM | 08-SBD-15-R28.6/37.5 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT |
Location Description | SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 11/08/2023 | Sample Unique Key | 66 |
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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 | 11/13/2023 |
Sample type | Quality Assurance | A brief description of the sample | 6X12 |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jareerattana | Last name of sampler or witnessed by | Sirisujarittham |
Title of sampler | QA Consultant | Telephone number of sampler | |
Laboratory sample identification | 1042-1108 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | SULLY Miller | Transportation Laboratory (TL) Number | 1042-1108 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | G3-22-PCC-272 |
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The truck number from where the sample was collected | Not Provided on TL | The batch plant ticket number from where the sample was collected | 22 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | NB I15 STAGE 2A JPCP STA 50760 TO 50775 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-11-08-66-1 ASTM C39-21 (Verified)