Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-06-21-7
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Project Information
| Project Identifiers | Project ID: 213658 DEA: 081F9204 EFIS: 0815000059 |
|---|---|
| DIST-CO-RTE-PM | 08--,60and86- |
| Award Date | 11/21/2018 |
| Closeout Date | 07/31/2020 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/31/2020) |
Sample Information
| Sample Taken Date | 06/21/2019 | 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 | 06/23/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arnel | Last name of sampler or witnessed by | Vega |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 996-621 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons - Cabazon | Transportation Laboratory (TL) Number | 20190621 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CMS LOCATION 3 |
Material Information
| Material Type | Concrete | The concrete mix design number | SM450T49 |
|---|---|---|---|
| The truck number from where the sample was collected | 2017 | The batch plant ticket number from where the sample was collected | 4499701 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | peterson chase |
| A detailed description of where the material sample was collected | 2 CY | Where the material sample would have been placed if not sampled | CMS LOCATION 3 |
| 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: 2019-06-21-7-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-06-21-7-2 ASTM C39-10 (Verified)
DIME Test ID: 2019-06-21-7-3 ASTM C39-10 (Verified)