Sample Record

DIME Sample ID 2016-08-12-17

Project Information

Project IdentifiersProject ID: 209217
DEA: 080F5404
EFIS: 0800000136
COOP: 081468
DIST-CO-RTE-PM08-RIV-91,15-0.0/13.04, 35.64/45.14
Award Date09/09/2013
Closeout Date09/20/2023
Work DescriptionSR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
QA Service Level1 (Verified on 08/07/2014)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date08/12/2016 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing10/12/2016 Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byJOSE
Last name of sampler or witnessed byDIAZ Title of samplerTET
Telephone number of samplerUnknown Laboratory sample identification888-SRL330
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameHolliday Rock Chino
Transportation Laboratory (TL) NumberSRL330 Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNP Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCM5634
The truck number from where the sample was collected290 The batch plant ticket number from where the sample was collected118054162
Concrete batch plantNP The fabricator/manufacturer designation for the sampleNP
A detailed description of where the material sample was collectedLOAD 12 Where the material sample would have been placed if not sampledWALL 141 C
From Lot No.NP Bag Lot No.Unknown

Submitted Tests

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