Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2017-10-26-6
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 211797 DEA: 080G8424 EFIS: 0814000184 |
|---|---|
| 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 | 10/26/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/30/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ROBERT | Last name of sampler or witnessed by | BERSBACH |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 961-03 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 3 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Comfort Station A and B Depressed Slab |
| Structure name | Comfort Station A and B Depressed Slab |
Material Information
| Material Type | Concrete | The concrete mix design number | SM400B34 |
|---|---|---|---|
| The truck number from where the sample was collected | 1195 | The batch plant ticket number from where the sample was collected | 2692302 |
| 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: 2017-10-26-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-10-26-6-2 ASTM C39-17a (Verified)
DIME Test ID: 2017-10-26-6-3 ASTM C39-17a (Verified)