Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-21-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995059 DEA: 081G6404 EFIS: 0816000046 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-395-R4.0/49.0 |
| Award Date | 10/25/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE ASPHALT CONCRETE SURFACING, COLD PLANE AC PVMT AND RHMA. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 15/395 SEPARATION TO 3.1 MILES NORTH OF ROUTE 58/395 SEPARATION |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 10/21/2024 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 10/23/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 | 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 | Telephone number of sampler | ||
| Laboratory sample identification | 1069-1021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Not Provided | Transportation Laboratory (TL) Number | 1069-1021 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CT590F25 |
|---|---|---|---|
| The truck number from where the sample was collected | 275 | The batch plant ticket number from where the sample was collected | 8005730 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | END ANCHOR BLOCKS NW AND NE 15-395 SEP - 395 AND JOSHUA ST | 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: 2024-10-21-29-1 ASTM C39-10 (Verified)