Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-07-02-88
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993431 DEA: 080R9804 EFIS: 0812000225 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-5719 |
| Award Date | 06/28/2022 |
| Closeout Date | Not set |
| Work Description | BUILDING WORK AND MINOR CONCRETE. |
| Location Description | SAN BERNARDINO COUNTY IN NEEDLES AT THE NEEDLES MAINTENANCE STATION AT 800 SAN CLEMENTE STREET |
| QA Service Level | 1 (Verified on 02/21/2022) |
Sample Information
| Sample Taken Date | 07/02/2024 | Sample Unique Key | 88 |
|---|---|---|---|
| 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 | 07/24/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Valle |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1068-72 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi Grade Materials Littlerock | Transportation Laboratory (TL) Number | 1068-72 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CT675F25 |
|---|---|---|---|
| The truck number from where the sample was collected | 288 | The batch plant ticket number from where the sample was collected | 8001882 |
| Concrete batch plant | HI GRADE | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Fuel island slab and connecting strip | 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: 2024-07-02-88-1 ASTM C39-10 (Verified)
DIME Test ID: 2024-07-02-88-2 ASTM C39-10 (Verified)