Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2020-07-22-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214221 DEA: 081F1424 EFIS: 0815000232 |
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DIST-CO-RTE-PM | 08-RIV-15-23.9/33.4 |
Award Date | 09/05/2019 |
Closeout Date | 03/01/2022 |
Work Description | REPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL |
Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 12/04/2019) |
Sample Information
Sample Taken Date | 07/22/2020 | Sample Unique Key | 17 |
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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 | 07/23/2020 |
Sample type | Quality Assurance | A brief description of the sample | PCC Rapid set beams |
The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Job Site |
First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 33RA, 33RB, 33RC | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | MSC Plant 1 | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 800-5RSC |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TT | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | concrete sample from wheel barrow | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-07-22-17-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2020-07-22-17-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2020-07-22-17-3 CTM 524-March 2013 (Verified)