Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-10-30-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
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DIST-CO-RTE-PM | 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2 |
Award Date | 04/18/2019 |
Closeout Date | 06/28/2022 |
Work Description | REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS |
Location Description | Not set |
QA Service Level | 1 (Verified on 06/17/2019) |
Sample Information
Sample Taken Date | 10/30/2020 | Sample Unique Key | 3 |
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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 | 11/04/2020 |
Sample type | Quality Assurance | A brief description of the sample | RSLCB CYLINDERS |
The quantity of what the sample constitutes | 6 CYLINDERS RSLCB | From where was the sample collected | Job Site |
First name of sampler or witnessed by | IVAN | Last name of sampler or witnessed by | LOPEZ |
Title of sampler | RMA TECH | Telephone number of sampler | |
Laboratory sample identification | 999-1030 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | SHORTLOAD CONCRETE | Transportation Laboratory (TL) Number | 999-1030 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | CTS 30 RAM |
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The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | SITE | Where the material sample would have been placed if not sampled | WB 60 TO NB 15 CONNECTOR LANE 2 AND SHOULDER STA 5381 TO 6158 |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-10-30-3-1 ASTM C39-17a (Verified)