Sample Record

Owner Lab

  • CT D08 - Hesperia Field Testing Laboratory

DIME Sample ID 2020-12-01-22

Project Information

Project IdentifiersProject ID: 213970
DEA: 080K1214
EFIS: 0815000245
DIST-CO-RTE-PM08-SBD-15-12.5/14.8
Award Date12/23/2019
Closeout Date01/18/2022
Work DescriptionREPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT.
Location DescriptionSAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING
QA Service Level1 (Verified on 12/12/2019)

Sample Information

Sample Taken Date12/01/2020 Sample Unique Key22
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 testing12/01/2020
Sample typeAcceptance A brief description of the sampleType II
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byJulius Last name of sampler or witnessed byEsonwune
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Rialto Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberLB0600AB
The truck number from where the sample was collected9 The batch plant ticket number from where the sample was collected5869036
Concrete batch plantRobertsons Ready Mix The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments