Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-26-13
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Project Information
| Project Identifiers | Project ID: 213261 DEA: 071XH004 EFIS: 0718000239 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47-.86, 0.86, 0.86 |
| Award Date | 03/20/2018 |
| Closeout Date | 06/03/2020 |
| Work Description | Remove and replace the two (2) long finger joint assemblies at Bents 11 and 12 and repair the elevators in both towers |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/08/2018) |
Sample Information
| Sample Taken Date | 11/26/2019 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 11/27/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Noah | Last name of sampler or witnessed by | Bruton |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 992-1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | GL THROOP | Transportation Laboratory (TL) Number | 1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | VTB TOLL PLAZA |
Material Information
| Material Type | Concrete | The concrete mix design number | 2017-101 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | 1 | Where the material sample would have been placed if not sampled | VTB TOLL PLAZA |
| 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: 2019-11-26-13-1 ASTM C39-10 (Verified)
DIME Test ID: 2019-11-26-13-2 ASTM C39-10 (Verified)