Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-04-28-12
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Project Information
| Project Identifiers | Project ID: 208714 DEA: 08043514 EFIS: 0800000010 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-58-R22.2/R31.1 |
| Award Date | 12/30/2014 |
| Closeout Date | 08/29/2018 |
| Work Description | REALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY |
| Location Description | HINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD. |
| QA Service Level | 1 (Verified on 03/22/2013) |
Sample Information
| Sample Taken Date | 04/28/2017 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 05/08/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ROBERT | Last name of sampler or witnessed by | BIRSBACH |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 915-428B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 20170428-B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RW1633 POUR 1 |
| Structure name | Unknown | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1918 | The batch plant ticket number from where the sample was collected | 2298738 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-28-12-1 ASTM C39-17a (Verified)