Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-11-15-2
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 209695 DEA: 08347704 EFIS: 0800000616 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-SR-58-0/12.9 |
| Award Date | 11/10/2017 |
| Closeout Date | 01/14/2021 |
| Work Description | (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395. |
| Location Description | SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395. |
| QA Service Level | 1 (Verified on 12/01/2017) |
Sample Information
| Sample Taken Date | 11/15/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Core |
| The quantity of what the sample constitutes | Mythacalate concrete repair | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Keivan | Last name of sampler or witnessed by | Hassan |
| Title of sampler | Telephone number of sampler | 9165345114 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kiewit | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Concrete Core | Detail description | Concrete Core |
|---|---|---|---|
| Structure names | SR 58 | Type of material | Concrete and Mythacalate |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||