Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-01-22-19
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212988 DEA: 080R1604 EFIS: 0812000029 |
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DIST-CO-RTE-PM | 08-SBD-40-R50.0/R75.0 |
Award Date | 09/07/2018 |
Closeout Date | 10/11/2022 |
Work Description | REGRADE MEDIAN CROSS SLOPES |
Location Description | NEAR LUDLOW FROM 0.3 MILES EAST OF CRUCERO ROAD TO 0.4 MILE WEST OF BADGER WASH |
QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
Sample Taken Date | 01/22/2020 | Sample Unique Key | 19 |
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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 | 01/27/2020 |
Sample type | Quality Assurance | A brief description of the sample | 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 | K | Last name of sampler or witnessed by | Eubany |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 991-122 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 022220-1 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | SC675B39 |
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The truck number from where the sample was collected | 87008G2 | The batch plant ticket number from where the sample was collected | 5071480 |
Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | DS112 Wingwall |
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: 2020-01-22-19-1 ASTM C39-10 (Verified)