Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-01-22-4
Sample is locked from editing. info
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 | 01/22/2021 | Sample Unique Key | 4 |
---|---|---|---|
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 | 02/08/2021 |
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 | Job Site |
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 | 1024-122 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 1024-122 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
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 | NA |
Concrete batch plant | ROBERTSONS | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | DRUM TRUCK | Where the material sample would have been placed if not sampled | STA 1525 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: 2021-01-22-4-1 ASTM C39-10 (Verified)