Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-08-22-4
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Project Information
| Project Identifiers | Project ID: 212988 DEA: 080R1604 EFIS: 0812000029 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R50.0/R75.0 |
| Award Date | 09/07/2018 |
| Closeout Date | 10/11/2022 |
| Work Description | REGRADE MEDIAN CROSS SLOPES |
| Location Description | NEAR LUDLOW FROM 0.3 MILES EAST OF CRUCERO ROAD TO 0.4 MILE WEST OF BADGER WASH |
| QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 08/22/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 08/23/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kennedy | Last name of sampler or witnessed by | Eubany |
| Title of sampler | Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | 991-882 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 082219-1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | DS 67 at I-40 Median PM 6 |
Material Information
| Material Type | Concrete | The concrete mix design number | SM450P47 |
|---|---|---|---|
| The truck number from where the sample was collected | 1198 | The batch plant ticket number from where the sample was collected | 4098697 |
| Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Load 1 at 10 cu yds | 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: 2019-08-22-4-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-08-22-4-2 ASTM C39-10 (Verified)