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Sample Record for 2021-10-05-41

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215556 DEA: 081L6504 EFIS: 0820000131 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40,58-Var
Work Description: REPLACE AC SURFACING, RUBBERIZED HMA, SLAB REPLACEMENT & STRIPING.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: FEC Future Contractors & Engineers, Inc
Contractor Address: 184 Technology Dr., Ste 2, Irvine, CA 92618
Resident Engineer: Larry Canuti Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-10-05-41
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Testing Laboratory
Sample Organization Contact: (760) 843-4173
Type of Sample: Quality Assurance
Type of Material: Rapid Set
Sample Taken Date: 10/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/05/2021
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 3 RSC beams
From where was the sample collected: Job Site
Laboratory sample identification: 100521-Set1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Larry Francisco

Material Information

Manufacturer: FEC
Mix no.: SM446BR2
Materials Received: 10/5/2021
Lot no.: 1
Batch no.: 2

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.