Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-02-12-3
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Project Information
| Project Identifiers | Project ID: 211819 DEA: 080G7704 EFIS: 0814000175 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-0.00/41.80 |
| Award Date | 07/14/2017 |
| Closeout Date | 09/04/2019 |
| Work Description | INSTALL TMS FIELD ELEMENTS |
| Location Description | RIVERSIDE COUNTY FROM SAN DIEGO COUNTY LINE TO 1.0 MILE NORTH OF ROUTE 15 / 91 SEPARATION |
| QA Service Level | 1 (Verified on 03/20/2018) |
Sample Information
| Sample Taken Date | 02/12/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 02/14/2018 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| 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 | SR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 973-212 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 20180212 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | STA F 1069 30 |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1946 | The batch plant ticket number from where the sample was collected | 3370914 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TAIL | 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: 2018-02-12-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2018-02-12-3-2 ASTM C39-17a (Verified)