Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-02-13-12
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Project Information
| Project Identifiers | Project ID: 214159 DEA: 081J4104 EFIS: 0818000040 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-71-R4.7 |
| Award Date | 06/18/2019 |
| Closeout Date | 08/09/2021 |
| Work Description | WIDEN RAMP & RIGHT TURN LANE WITH HMA AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY IN CHINO HILLS AT SOQUEL CANYON PARKWAY SOUTHBOUND EXIT RAMP |
| QA Service Level | 1 (Verified on 12/02/2019) |
Sample Information
| Sample Taken Date | 02/13/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 02/18/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 13 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Saad | Last name of sampler or witnessed by | Arabi |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1008-66 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 200066 |
| 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 | 5082194 | The batch plant ticket number from where the sample was collected | VARIOUS |
| Concrete batch plant | ROBERTSONS | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | HOPPER | Where the material sample would have been placed if not sampled | Ret Wall Stem |
| 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: 2020-02-13-12-1 ASTM C39-17a (Verified)
DIME Test ID: 2020-02-13-12-2 ASTM C39-10 (Verified)
DIME Test ID: 2020-02-13-12-3 ASTM C39-17a (Verified)