Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-06-10-89
Project Information
Project Identifiers | Project ID: 994327 DEA: 081G4704 EFIS: 0816000001 |
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DIST-CO-RTE-PM | 08-RIV-74-3.1/53.5 |
Award Date | 01/02/2023 |
Closeout Date | Not set |
Work Description | STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM. |
Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE. |
QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
Sample Taken Date | 06/10/2024 | Sample Unique Key | 89 |
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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 | 06/18/2024 |
Sample type | Quality Assurance | A brief description of the sample | CONCRETE CYLINDERS |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | victor | Last name of sampler or witnessed by | wami |
Title of sampler | STR Inspector | Telephone number of sampler | |
Laboratory sample identification | 1063-2 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 1063-2 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | RRM22086 |
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The truck number from where the sample was collected | 2232 | The batch plant ticket number from where the sample was collected | 5648656 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Strawberry Creek Bridge - abutments and wingwalls | 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: 2024-06-10-89-1 ASTM C39-10 (Verified)
DIME Test ID: 2024-06-10-89-2 ASTM C39-10 (Verified)