Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-09-14-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211988 DEA: 081C5104 EFIS: 0812000324 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-17.4/17.8 |
| Award Date | 03/09/2017 |
| Closeout Date | 06/23/2021 |
| Work Description | CONSTRUCT VEHICLE RINSE FACILITY |
| Location Description | RIVERSIDE COUNTY IN AND NEAR LAKE ELSINORE AT THE ELSINORE MAINTENANCE STATION AND FROM DEXTER AVENUE TO CONRAD AVENUE |
| QA Service Level | 1 (Verified on 08/08/2017) |
Sample Information
| Sample Taken Date | 09/14/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 09/18/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arnel | Last name of sampler or witnessed by | Vega |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 967-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 01 |
| 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 | C8363P |
|---|---|---|---|
| The truck number from where the sample was collected | 074 | The batch plant ticket number from where the sample was collected | 149993 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | FOOTINGS | 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. | |||