Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-01-20-7
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Project Information
| Project Identifiers | Project ID: 215039 DEA: 081H4004 EFIS: 0817000031 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-0.4 |
| Award Date | 08/19/2020 |
| Closeout Date | 06/30/2021 |
| Work Description | MINOR CONCRETE (MINOR STRUCTURE). |
| Location Description | SAN BERNARDINO COUNTY IN BARSTOW AT 0.4 MILE EAST OF ROUTE 15 |
| QA Service Level | 1 (Verified on 10/21/2020) |
Sample Information
| Sample Taken Date | 01/20/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 01/22/2021 |
| Sample type | Quality Assurance | A brief description of the sample | CONCRETE CYLINDERS |
| The quantity of what the sample constitutes | 2 CYLINDERS | From where was the sample collected | Other |
| First name of sampler or witnessed by | LARRY | Last name of sampler or witnessed by | Francisco |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1024-12021 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 12021 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | blair ditch channel |
Material Information
| Material Type | Concrete | The concrete mix design number | SC505B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | ROBERTSONS | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | UNKNOWN | Where the material sample would have been placed if not sampled | sta 1790 eb I40 BLAIR DITCH CHANNEL |
| 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: 2021-01-20-7-2 ASTM C39-17a (Verified)