Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2019-01-18-17
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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 | 01/18/2019 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 01/19/2019 |
| Sample type | Department Acceptance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Denis | Last name of sampler or witnessed by | Sostrom |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 19RA, 19RB, 19RC | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Redlands | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 1555211 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | TT1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | On Job Site at Concrete Truck | 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: 2019-01-18-17-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-01-18-17-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-01-18-17-3 CTM 524-March 2013 (Verified)