Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-20-10
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Project Information
| Project Identifiers | Project ID: 213763 DEA: 060Q19A4 EFIS: 0613000152 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-58-R99.0/R100.3 |
| Award Date | 02/04/2019 |
| Closeout Date | 10/22/2021 |
| Work Description | WIDEN SHOULDERS AND REPLACE BRIDGES |
| Location Description | KERN COUNTY NEAR TEHACHAPI FROM 0.5 MILE WEST TO 0.8 MILE EAST OF SAND CANYON UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/09/2019) |
Sample Information
| Sample Taken Date | 11/20/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 11/22/2019 |
| 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 | Adial | Last name of sampler or witnessed by | Evans |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 994-20 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Holliday Rock | Transportation Laboratory (TL) Number | 20191120 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | BOTH END DIAPHRAGMS AND THE MIDDLE DIAPHRAGM |
Material Information
| Material Type | Concrete | The concrete mix design number | 3F36A003 |
|---|---|---|---|
| The truck number from where the sample was collected | 615 | The batch plant ticket number from where the sample was collected | 112017045 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Granite |
| A detailed description of where the material sample was collected | Truck | Where the material sample would have been placed if not sampled | BOTH END DIAPHRAGMS AND THE MIDDLE DIAPHRAGM |
| 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: 2019-11-20-10-1 ASTM C39-10 (Verified)