Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-09-23-25
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Project Information
| Project Identifiers | Project ID: 214465 DEA: 081E5704 EFIS: 0814000051 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-27.7 |
| Award Date | 12/26/2019 |
| Closeout Date | 09/15/2021 |
| Work Description | PLACE CIDH PILING AND ROCK SLOPE PROTECTION |
| Location Description | RIVERSIDE COUNTY NEAR PALM SPRINGS AT WHITEWATER RIVER BRIDGE |
| QA Service Level | 1 (Verified on 02/28/2020) |
Sample Information
| Sample Taken Date | 09/23/2020 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 09/25/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 8 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Shukri | Last name of sampler or witnessed by | Abouazra |
| Title of sampler | Str Rep | Telephone number of sampler | |
| Laboratory sample identification | 1016-70 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 178670 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Left Bridge Whitewater Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | 20034 |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 10687 |
| 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 | Pile Cap |
| 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: 2020-09-23-25-1 ASTM C39-17a (Verified)
DIME Test ID: 2020-09-23-25-2 ASTM C39-17a (Verified)
DIME Test ID: 2020-09-23-25-3 ASTM C39-17a (Verified)
DIME Test ID: 2020-09-23-25-4 ASTM C39-17a (Verified)