Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-03-10-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214465 DEA: 081E5704 EFIS: 0814000051 |
|---|---|
| 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 | 03/10/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 03/11/2021 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| 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 | Telephone number of sampler | ||
| Laboratory sample identification | 1016-310 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Rock Force | 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 | 20045R |
|---|---|---|---|
| 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 | Load 1 CIDH pier 3R pile 3 | Where the material sample would have been placed if not sampled | |
| 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: 2021-03-10-2-1 ASTM C39-17a (Verified)