Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-21-4
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Project Information
| Project Identifiers | Project ID: 213745 DEA: 080Q1204 EFIS: 0800020125 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-18-99.5-100.9 |
| Award Date | 02/19/2019 |
| Closeout Date | 03/24/2020 |
| Work Description | WIDEN ROADBED AND CONSTRUCT RAISED CURB MEDIAN |
| Location Description | SAN BERNARDINO COUNTY FROM COBALT ROAD TO ROUTE 395 |
| QA Service Level | 1 (Verified on 04/02/2019) |
Sample Information
| Sample Taken Date | 11/21/2019 | 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 | 11/25/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ekene | Last name of sampler or witnessed by | Ezeoke |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 997-21 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Victorville | Transportation Laboratory (TL) Number | 21 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1435 | The batch plant ticket number from where the sample was collected | 4536092 |
| Concrete batch plant | Robertons Victorville | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Drum Truck | Where the material sample would have been placed if not sampled | Route 18 in front of Edison Plant |
| 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: 2019-11-21-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2019-11-21-4-2 ASTM C39-17a (Verified)