Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-09-02-24
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Project Information
| Project Identifiers | Project ID: 214221 DEA: 081F1424 EFIS: 0815000232 |
|---|---|
| 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 | 09/02/2020 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 09/02/2020 |
| Sample type | Quality Assurance | A brief description of the sample | CONCRETE CYLINDERS |
| The quantity of what the sample constitutes | 4 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fattah | Last name of sampler or witnessed by | Kazi |
| Title of sampler | Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | 1010-94 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | NA | 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 | 400VC with Fibers |
|---|---|---|---|
| The truck number from where the sample was collected | 31BC | The batch plant ticket number from where the sample was collected | 1535 |
| Concrete batch plant | NA | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | NA | Where the material sample would have been placed if not sampled | I15 NB at Temescal Wash Sta 147890 N of Nichols |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-02-24-1 ASTM C39-17a (Verified)