Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-01-23-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212910 DEA: 080K2914 EFIS: 0812000098 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-30.9/33.3 |
| Award Date | 03/06/2018 |
| Closeout Date | 09/04/2019 |
| Work Description | LANE REPLACEMENT |
| Location Description | SAN BERNARDINO COUNTY IN REDLANDS FROM ORANGE STREET UNDERCROSSING TO REDLANDS BLVD OFF-RAMP UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/02/2018) |
Sample Information
| Sample Taken Date | 01/23/2019 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 02/05/2019 |
| Sample type | Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Edwin | Last name of sampler or witnessed by | Edles |
| Title of sampler | TE | Telephone number of sampler | 9512783698 |
| Laboratory sample identification | 8493 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | caltrans | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0033::PALMDALE |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number | Not set |
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. | |||