Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-06-13-60
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995061 DEA: 081J9104 EFIS: 0818000135 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV,SBD-10,15,60,62,91,etc.-Var |
| Award Date | 10/11/2023 |
| Closeout Date | 06/09/2025 |
| Work Description | MODIFYING CMS SYSTEMS, SIGN FOUNDATION AND SIGN STRUCTURE. |
| Location Description | RIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 06/13/2024 | Sample Unique Key | 60 |
|---|---|---|---|
| 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 | 06/14/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 |
| The quantity of what the sample constitutes | 11 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nafisat | Last name of sampler or witnessed by | A |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1067-613 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 1067-613 |
| 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 | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | 10070472 | The batch plant ticket number from where the sample was collected | 42859304 |
| Concrete batch plant | CEMEX FONTANA | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | 0.1 n/o Central Ave | 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: 2024-06-13-60-1 ASTM C39-10 (Verified)
DIME Test ID: 2024-06-13-60-2 ASTM C39-10 (Verified)
DIME Test ID: 2024-06-13-60-3 ASTM C39-10 (Verified)