Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-18-4
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Project Information
| Project Identifiers | Project ID: 213764 DEA: 080F0304 EFIS: 0800020358 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-60-R0.7/R3.0 |
| Award Date | 03/07/2019 |
| Closeout Date | 07/27/2023 |
| Work Description | REMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60 |
| Location Description | IN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 05/01/2019) |
Sample Information
| Sample Taken Date | 09/18/2019 | 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 | 09/18/2019 |
| Sample type | Control Sample | A brief description of the sample | 4x8 Cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigo | Last name of sampler or witnessed by | Marin |
| Title of sampler | QAI | Telephone number of sampler | 951-500-0685 |
| Laboratory sample identification | 1003-918B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Con-Fab, Inc | Transportation Laboratory (TL) Number | 502 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | P5 3/3 |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC 9-8-25F |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 980 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | batch |
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | 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: 2019-09-18-4-1 ASTM C39-17a (Verified)