Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-03-03-22
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Project Information
| Project Identifiers | Project ID: 214109 DEA: 081H6404 EFIS: 0817000094 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-210-R26.5 |
| Award Date | 06/20/2019 |
| Closeout Date | 12/04/2020 |
| Work Description | WIDEN RAMP & CONSTRUCT RETAINING WALL. |
| Location Description | SAN BERNARDINO COUNTY IN SAN BERNARDINO AT EASTBOUND HIGHLAND AVENUE EXIT RAMP |
| QA Service Level | 1 (Verified on 09/18/2019) |
Sample Information
| Sample Taken Date | 03/03/2020 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 03/12/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 15 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Eddy | Last name of sampler or witnessed by | Scott |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1009-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Soil Nail Wall 2nd Pour |
Material Information
| Material Type | Concrete | The concrete mix design number | SC675T48 |
|---|---|---|---|
| The truck number from where the sample was collected | 1836 | The batch plant ticket number from where the sample was collected | 4933803 |
| Concrete batch plant | Unknown | 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 | Soil Nail Wall 2nd Pour |
| 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: 2020-03-03-22-1 ASTM C39-17a (Verified)