Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-10-17-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211797 DEA: 080G8424 EFIS: 0814000184 |
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DIST-CO-RTE-PM | 08-SBD-15-R107.3 |
Award Date | 12/29/2016 |
Closeout Date | 06/23/2021 |
Work Description | UPGRADE EXISTING SAFETY ROADSIDE REST AREAS (SRRA) |
Location Description | SAN BERNARDINO COUNTY ABOUT 30 MILES EAST OF BARSTOW AT C.V. KANE SAFETY ROADSIDE REST AREA |
QA Service Level | 1 (Verified on 02/08/2017) |
Sample Information
Sample Taken Date | 10/17/2017 | Sample Unique Key | 4 |
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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 | 10/19/2017 |
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 | LEONARD | Last name of sampler or witnessed by | ROMERO |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 961-02 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 2 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | C V KANE SLAB POUR |
Structure name | C V KANE CLAB POUR |
Material Information
Material Type | Concrete | The concrete mix design number | SM400B34 |
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The truck number from where the sample was collected | 1697 | The batch plant ticket number from where the sample was collected | 2672226 |
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 | C V KANE SLAB POUR |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-10-17-4-1 ASTM C39-17a (Verified)