Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-04-01-13
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Project Information
| Project Identifiers | Project ID: 214466 DEA: 081F1414 EFIS: 0815000231 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-15-54.2/54.3 |
| Award Date | 01/02/2020 |
| Closeout Date | 05/26/2022 |
| Work Description | Slab & lane replacement with JPCP & precast conc pavement, place HMA. |
| Location Description | Riverside and San Diego County |
| QA Service Level | 1 (Verified on 03/20/2020) |
Sample Information
| Sample Taken Date | 04/01/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 04/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | CONCERETE CYLINDERS |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Contractor | Last name of sampler or witnessed by | NA |
| Title of sampler | NA | Telephone number of sampler | |
| Laboratory sample identification | 1013-51 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | security paving | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 146451 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1419984 |
|---|---|---|---|
| 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 | ROUTE 15 TEMECNLA LANE 3 AND 4 STA 108 25 | 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: 2021-04-01-13-1 ASTM C39-17a (Verified)