Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-09-02-23
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214543 DEA: 080K8404 EFIS: 0800020563 |
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DIST-CO-RTE-PM | 08-SBD-L5726- |
Award Date | 01/09/2020 |
Closeout Date | 04/28/2022 |
Work Description | MAINTENANCE STATION BUILDING WORK. |
Location Description | SAN BERNARDINO AT THE SAN BERNARDINO MAINTENANCE STATION AT 175 WEST CLUSTER STREET |
QA Service Level | 1 (Verified on 02/26/2020) |
Sample Information
Sample Taken Date | 09/02/2020 | Sample Unique Key | 23 |
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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 | 09/04/2020 |
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 | T | Last name of sampler or witnessed by | Galvan |
Title of sampler | Inspector | Telephone number of sampler | |
Laboratory sample identification | 1020-094 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 1020-094 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | not provided |
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The truck number from where the sample was collected | not provided | The batch plant ticket number from where the sample was collected | not provided |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | not provided | 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: 2020-09-02-23-1 ASTM C39-17a (Verified)