Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2024-03-20-59
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994945 DEA: 081J6304 EFIS: 0818000086 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-3.6/6.0 |
| Award Date | 09/22/2023 |
| Closeout Date | 07/23/2025 |
| Work Description | INDIVIDUAL SLAB REPLACEMENT (RSC) AND RHMA. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AND SAN BERNARDINO FROM 0.2 MILE SOUTH OF ROUTE 10/215 SEPARATION TO MILL STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 03/20/2024 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 03/20/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 3- 6X6X21 Rapid Set Concrete Beams |
| The quantity of what the sample constitutes | 3 Beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Not | Last name of sampler or witnessed by | Included |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | RSC5 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Contractor Yard | Transportation Laboratory (TL) Number | |
| 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 | G3-21-CTS-220 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Concrete Truck | 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: 2024-03-20-59-1 CTM 524-March 2013 (Verified)