Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2019-10-03-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-12.5/14.8 |
| Award Date | 12/23/2019 |
| Closeout Date | 01/18/2022 |
| Work Description | REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
| Sample Taken Date | 10/03/2019 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 10/13/2019 |
| Sample type | Quality Assurance | A brief description of the sample | concerete beams |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Julius | Last name of sampler or witnessed by | o |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | set1 11 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Lytle Creek | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1605760 |
|---|---|---|---|
| The truck number from where the sample was collected | 0477 | The batch plant ticket number from where the sample was collected | 2911166 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
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. | |||