Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-01-28-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210695 DEA: 080K2924 EFIS: 0812000099 |
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DIST-CO-RTE-PM | 08-SBD-10-32.9/R37.4 |
Award Date | 10/30/2015 |
Closeout Date | 08/08/2018 |
Work Description | REPLACE EXISTING (PCCP) WITH (RSCP). |
Location Description | IN/NEAR REDLANDS FROM 0.2 MILE W/O FORD STREET TO 0.4 MILE E/O LIVEOAK CANYON ROAD. |
QA Service Level | 1 (Verified on 10/19/2015) |
Sample Information
Sample Taken Date | 01/28/2017 | Sample Unique Key | 5 |
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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 | 01/30/2017 |
Sample type | Quality Control | A brief description of the sample | 6X12 |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | RMA | Last name of sampler or witnessed by | RMA |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 945-16-4 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | SHORT LOAD CONCRETE | Transportation Laboratory (TL) Number | 16-4 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 10WB LN4 697 673 LN3 STA647 637 |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | CTS 30 RAM |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | NP |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | NP | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-01-28-5-1 ASTM C39-17a (Verified)