Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-06-05-26

Project Information

Project IdentifiersProject ID: 213763
DEA: 060Q19A4
EFIS: 0613000152
DIST-CO-RTE-PM06-KER-58-R99.0/R100.3
Award Date02/04/2019
Closeout Date10/22/2021
Work DescriptionWIDEN SHOULDERS AND REPLACE BRIDGES
Location DescriptionKERN COUNTY NEAR TEHACHAPI FROM 0.5 MILE WEST TO 0.8 MILE EAST OF SAND CANYON UNDERCROSSING
QA Service Level1 (Verified on 01/09/2019)

Sample Information

Sample Taken Date06/05/2020 Sample Unique Key26
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 testing06/05/2020
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutesNA From where was the sample collectedJob Site
First name of sampler or witnessed byNA Last name of sampler or witnessed byNA
Title of samplerNA Telephone number of sampler
Laboratory sample identification994-604 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHOLLIDAY ROCK Transportation Laboratory (TL) Number604
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number3F36A003
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantHOLLIDAY ROCK The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK Where the material sample would have been placed if not sampledCACHE CREEK BRIDGE LEFT BRIDGE PILES
From Lot No.Unknown Bag Lot No.Unknown

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