Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-03-14-6
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Project Information
| Project Identifiers | Project ID: 210888 DEA: 072750U4 EFIS: 0715000283 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33,101-0.9/T5.82.3/13.8 |
| Award Date | 03/14/2016 |
| Closeout Date | 07/23/2019 |
| Work Description | CONSTRUCT STORM WATER TREATMENT BMP. |
| Location Description | CONSTRUCT STORM WATER TREATMENT BMP. |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 03/14/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 03/20/2017 |
| Sample type | Quality Assurance | 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 | NP | Last name of sampler or witnessed by | NP |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 939-24 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | GRIMES CANYON | Transportation Laboratory (TL) Number | 106624 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | S72500 |
|---|---|---|---|
| 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 | NOT PROVIDED | Where the material sample would have been placed if not sampled | LOCATION 15 DS 16 |
| 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: 2017-03-14-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-03-14-6-2 ASTM C39-17a (Verified)