Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-05-29-33
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Project Information
| Project Identifiers | Project ID: 213764 DEA: 080F0304 EFIS: 0800020358 |
|---|---|
| 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 | 05/29/2020 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 06/03/2020 |
| Sample type | Quality Assurance | A brief description of the sample | CONCRETE CYLINDERS |
| The quantity of what the sample constitutes | NA | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | R | Last name of sampler or witnessed by | Kim |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1003-5293 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 5293 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM18161 |
|---|---|---|---|
| The truck number from where the sample was collected | 1616 | The batch plant ticket number from where the sample was collected | LOAD 23 |
| Concrete batch plant | ROBERTONS | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | NA | Where the material sample would have been placed if not sampled | STAGE 1 PIPELINE AVE OC ABUTMENT 3 STEM |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||