Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-08-11-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213747 DEA: 080Q9104 EFIS: 0800020580 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-R23.8 |
| Award Date | 01/30/2019 |
| Closeout Date | 07/27/2022 |
| Work Description | RETROFIT BRIDGE PIER WALLS, FOOTINGS AND POLYESTER CONCRETE OVERLAY. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AT THE SANTA ANA RIVER BRIDGES |
| QA Service Level | 1 (Verified on 03/18/2019) |
Sample Information
| Sample Taken Date | 08/11/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 08/21/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | Unknown Quantity | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rodrigo | Last name of sampler or witnessed by | Santa Cruz |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1017-811 | Linked DIME Sample ID | 2020-08-11-21 |
| The fabricator/manufacturer/facility name | Holiday Rock | Transportation Laboratory (TL) Number | 1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 3H40H008 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Unknown | Where the material sample would have been placed if not sampled | Pier Wall 11QR Left and Right |
| From Lot No. | Bag Lot No. |
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. | |||