Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-02-25-3
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Project Information
| Project Identifiers | Project ID: 211068 DEA: 080N5504 EFIS: 0800020102 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R105.2/R106.5 |
| Award Date | 04/21/2016 |
| Closeout Date | 08/09/2018 |
| Work Description | REPLACE THE LEFT WATSON WASH BRIDGE N0. 0805L |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/10/2016) |
Sample Information
| Sample Taken Date | 02/25/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 03/06/2017 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | robert | Last name of sampler or witnessed by | bersbach |
| Title of sampler | asr | Telephone number of sampler | Unknown |
| Laboratory sample identification | 947-16 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | cemex | Transportation Laboratory (TL) Number | 947-16 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 16 | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 1593244 |
|---|---|---|---|
| The truck number from where the sample was collected | 5780 | The batch plant ticket number from where the sample was collected | 44026514 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | site | Where the material sample would have been placed if not sampled | frame 1 deck pour sample 3 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-02-25-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-02-25-3-2 ASTM C39-17a (Verified)