Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-18-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212988 DEA: 080R1604 EFIS: 0812000029 |
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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 | 10/18/2019 | Sample Unique Key | 6 |
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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 | 10/23/2019 |
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 | Kennedy | Last name of sampler or witnessed by | EuBany |
Title of sampler | Materials Tester | Telephone number of sampler | |
Laboratory sample identification | 991-1018 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons Barstow | Transportation Laboratory (TL) Number | 20191018 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | EB I-40 Median pass Ludloud DS 52 |
Material Information
Material Type | Concrete | The concrete mix design number | SC675B39 |
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The truck number from where the sample was collected | 1197 | The batch plant ticket number from where the sample was collected | 4770445 |
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 | EB I 40 Median pass Ludloud DS 52 |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-10-18-6-1 ASTM C39-10 (Verified)