Sample Record

Owner Lab

  • Twining, Incorporated - San Bernardino

DIME Sample ID 2013-10-31-6727

Project Information

Project IdentifiersProject ID: 8127
DEA: 080N5904
EFIS: 0800000533
DIST-CO-RTE-PM08-SBD-40-R85.2
Award Date02/07/2013
Closeout Date05/11/2015
Work DescriptionCONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date10/31/2013 Sample Unique Key6727
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing11/04/2013
Sample typeVerification A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 cylinders From where was the sample collectedSource
First name of sampler or witnessed byChigo Last name of sampler or witnessed byDike
Title of samplerSR Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHi Grade Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design numberJT685F25
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected625152
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedApproach slabs on van winkle (R) Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments