Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-03-9
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Project Information
| Project Identifiers | Project ID: 211330 DEA: 081G9204 EFIS: 0816000108 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-181.9 |
| Award Date | 01/18/2016 |
| Closeout Date | 08/04/2016 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/31/2016) |
Sample Information
| Sample Taken Date | 06/03/2016 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/08/2016 |
| 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 | MIKE | Last name of sampler or witnessed by | NUNEZ |
| Title of sampler | QC TECH TWINING | Telephone number of sampler | Unknown |
| Laboratory sample identification | 915-30 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | LCB060316 30 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SR 58 EXPRESSWAY AT HINKLEY RD |
| Structure name | LANE 2 EB STA 1471 00 | Bid Item | Not set |
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 | STA 1471 00 | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2016-06-03-9-1 ASTM C39-17a (Verified)