Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-04-29-16
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213764 DEA: 080F0304 EFIS: 0800020358 |
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DIST-CO-RTE-PM | 08-SBD-60-R0.7/R3.0 |
Award Date | 03/07/2019 |
Closeout Date | 07/27/2023 |
Work Description | REMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60 |
Location Description | IN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING |
QA Service Level | 1 (Verified on 05/01/2019) |
Sample Information
Sample Taken Date | 04/29/2020 | Sample Unique Key | 16 |
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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 | 04/30/2020 |
Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
The quantity of what the sample constitutes | 35 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Wami |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | 1003-429 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 429 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | RRM18086 |
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The truck number from where the sample was collected | 1777 | The batch plant ticket number from where the sample was collected | 5089680 |
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 | Pipeline Ave OC Abut 1 24inch CIDH at Abutment 1 Stage 1 |
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: 2020-04-29-16-1 ASTM C39-17a (Verified)