Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-08-19-3
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Project Information
| Project Identifiers | Project ID: 214315 DEA: 081G2104 EFIS: 0815000170 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-210 - 15,210-7.4/9.0, 10.5/12.7 |
| Award Date | 10/01/2019 |
| Closeout Date | 09/15/2021 |
| Work Description | Install lighting and ramp metering systems. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/10/2019) |
Sample Information
| Sample Taken Date | 08/19/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/20/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Galvan |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1003-819 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi-Grade Material | Transportation Laboratory (TL) Number | 1003-819 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 2093 | The batch plant ticket number from where the sample was collected | 5603242 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | Route 15 Location 8 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-08-19-3-1 ASTM C39-17a (Verified)