Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-07-25-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211714 DEA: 080R1204 EFIS: 0812000026 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-0.0/R25.0 |
| Award Date | 12/21/2016 |
| Closeout Date | 06/23/2021 |
| Work Description | REGRADE MEDIAN CROSS SLOPE |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM JUNCTION 15/40 TO 1.4 MILES EAST OF FORT CADY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/21/2016) |
Sample Information
| Sample Taken Date | 07/25/2017 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 08/01/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kennedy | Last name of sampler or witnessed by | EuBany |
| Title of sampler | Field Technician | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hi Grade - Oro Grande | Transportation Laboratory (TL) Number | 072517 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 072517 | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | CT590F25 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | 2 |
| A detailed description of where the material sample was collected | Unknown | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||