Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-08-29-8
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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 | 08/29/2019 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 08/30/2019 |
| 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 | Kenedy | Last name of sampler or witnessed by | EBUNNY |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | 991-1829 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 1-82919 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | DS212 rte 40 median sta 1333 00 |
Material Information
| Material Type | Concrete | The concrete mix design number | SC675B38 |
|---|---|---|---|
| The truck number from where the sample was collected | na | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | FISHER INDUSTRIES |
| A detailed description of where the material sample was collected | 10 cy | Where the material sample would have been placed if not sampled | DS212 rte 40 median sta 1333 00 |
| 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: 2019-08-29-8-1 ASTM C39-10 (Verified)