Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2018-11-01-8
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-34.7/51.6 |
| Award Date | 04/17/2017 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT |
| Location Description | Riverside County and SBD-15-0.0/1.3 |
| QA Service Level | 1 (Verified on 05/08/2017) |
Sample Information
| Sample Taken Date | 11/01/2018 | Sample Unique Key | 8 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 11/09/2018 |
| 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 | tavo | Last name of sampler or witnessed by | na |
| Title of sampler | Consultant tester | Telephone number of sampler | |
| Laboratory sample identification | 974-248 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | securty paving | Transportation Laboratory (TL) Number | 974-248 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | roadway southbound lane sta 266409 | |
| Structure name | roadway southbound lane sta 266409 |
Material Information
| Material Type | Concrete | The concrete mix design number | g3-18-LCB -110 |
|---|---|---|---|
| The truck number from where the sample was collected | 18 | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | SECURITY PAVING | |
| A detailed description of where the material sample was collected | at 952 am | Where the material sample would have been placed if not sampled | roadway southbound lane sta 266409 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-11-01-8-1 ASTM C39-10 (Verified)