Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-14-40
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213477 DEA: 080H4704 EFIS: 0812000074 |
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DIST-CO-RTE-PM | 08-SBD-2-2.44 |
Award Date | 09/28/2018 |
Closeout Date | 01/18/2022 |
Work Description | WIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS |
Location Description | AT WRIGHTWOOD AT SHEEP CREEK BRIDGE |
QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
Sample Taken Date | 10/14/2019 | Sample Unique Key | 40 |
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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 | 10/15/2019 |
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 | MD | Last name of sampler or witnessed by | RAHMAN |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 1002-14 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 20191014 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | SHEEP CREEK BRIDGE FOOTING ABUT 1 AND 2 |
Material Information
Material Type | Concrete | The concrete mix design number | rrm19026 |
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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 | 4586556 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Beador Construction |
A detailed description of where the material sample was collected | 20 CY | Where the material sample would have been placed if not sampled | SHEEP CREEK BRIDGE FOOTING ABUT 1 AND 2 |
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: 2019-10-14-40-1 ASTM C39-10 (Verified)