Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-21-6
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Project Information
| Project Identifiers | Project ID: 209694 DEA: 080J0704 EFIS: 0800000282 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-0.6/1.7 |
| Award Date | 10/17/2017 |
| Closeout Date | 04/23/2020 |
| Work Description | (Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA. |
| Location Description | Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60. |
| QA Service Level | 1 (Verified on 12/11/2017) |
Sample Information
| Sample Taken Date | 10/21/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 11/01/2019 |
| 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 | Eddy | Last name of sampler or witnessed by | Scott |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 975-1021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertson Riverside | Transportation Laboratory (TL) Number | 20191021 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Barton rd retaining wall 57 |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1437 | The batch plant ticket number from where the sample was collected | 4913722 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | MYERS |
| A detailed description of where the material sample was collected | 25 cy | Where the material sample would have been placed if not sampled | Barton rd retaining wall 57 |
| 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: 2019-10-21-6-1 ASTM C39-10 (Verified)