Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-07-16-10
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Project Information
| Project Identifiers | Project ID: 213651 DEA: 08388524 EFIS: 0812000124 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-330-32.3/32.6,33.4/33.8 |
| Award Date | 11/28/2018 |
| Closeout Date | 10/23/2020 |
| Work Description | REPLACE BRIDGE RAILS AND APPROACH RAILS. |
| Location Description | SAN BERNARDINO COUNTY FROM 0.2 MILE SOUTH TO 0.1 MILE NORTH OF CITY CREEK BRIDGE AND FROM 0.3 MILE SOUTH TO 0.1 MILE NORTH OF EAST CITY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 02/04/2019) |
Sample Information
| Sample Taken Date | 07/16/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 07/17/2019 |
| 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 | soroush | Last name of sampler or witnessed by | mavandadi |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 998-716 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 20190716 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | East fork city creek Br, stage 1 |
Material Information
| Material Type | Concrete | The concrete mix design number | rrm19036 |
|---|---|---|---|
| The truck number from where the sample was collected | 1976 | The batch plant ticket number from where the sample was collected | 4717850 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Donnell Contruction inc |
| A detailed description of where the material sample was collected | 10cy | Where the material sample would have been placed if not sampled | East fork city creek Br stage 1 |
| 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: 2019-07-16-10-1 ASTM C39-10 (Verified)