Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-06-11-10
Project Information
Project Identifiers | Project ID: 209694 DEA: 080J0704 EFIS: 0800000282 |
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DIST-CO-RTE-PM | 08-SBD-215-0.6/1.7 |
Award Date | 10/17/2017 |
Closeout Date | 04/23/2020 |
Work Description | (Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA. |
Location Description | Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60. |
QA Service Level | 1 (Verified on 12/11/2017) |
Sample Information
Sample Taken Date | 06/11/2018 | Sample Unique Key | 10 |
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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 | 06/18/2018 |
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 | EDDY | Last name of sampler or witnessed by | SCOTT |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 975-611 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | ROBERTSON | Transportation Laboratory (TL) Number | 975-611 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | ABUTMENT 4 RIGHT RETANING WALL |
Structure name | ABUTMENT 4 RIGHT RETANING WALL |
Material Information
Material Type | Concrete | The concrete mix design number | SC590B38 |
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The truck number from where the sample was collected | 142 | The batch plant ticket number from where the sample was collected | 3592864 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | MYERS |
A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | ABUTMENT 4 RIGHT RETANING WALL |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |