Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2020-10-24-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
|---|---|
| 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 | 10/24/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 10/25/2020 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Aggregate |
| The quantity of what the sample constitutes | 3 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Idris | Last name of sampler or witnessed by | Najjar |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RV Concrete onsite plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0027::CORONA QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Concrete Paving | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | RVC 60-1 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
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. | |||