Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-12-21-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214465 DEA: 081E5704 EFIS: 0814000051 |
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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 | 12/21/2020 | 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 | 12/22/2020 |
Sample type | Quality Control | A brief description of the sample | 6x12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Saad | Last name of sampler or witnessed by | Arabi |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | 1016-75 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 178675 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 20034 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | site | Where the material sample would have been placed if not sampled | wite water br 560004 |
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: 2020-12-21-3-1 ASTM C39-17a (Verified)