Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-07-25-15

Project Information

Project IdentifiersProject ID: 211714
DEA: 080R1204
EFIS: 0812000026
DIST-CO-RTE-PM08-SBD-40-0.0/R25.0
Award Date12/21/2016
Closeout Date06/23/2021
Work DescriptionREGRADE MEDIAN CROSS SLOPE
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM JUNCTION 15/40 TO 1.4 MILES EAST OF FORT CADY ROAD OVERCROSSING
QA Service Level1 (Verified on 09/21/2016)

Sample Information

Sample Taken Date07/25/2017 Sample Unique Key15
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 testing08/01/2017
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byKennedy Last name of sampler or witnessed byEuBany
Title of samplerField Technician Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHi Grade - Oro Grande Transportation Laboratory (TL) Number072517
Inspector Lot Number from the Transportation Laboratory (TL) Form072517 Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberCT590F25
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantUnknown The fabricator/manufacturer designation for the sample2
A detailed description of where the material sample was collectedUnknown Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.