Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-04-23-7
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
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DIST-CO-RTE-PM | 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2 |
Award Date | 04/18/2019 |
Closeout Date | 06/28/2022 |
Work Description | REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS |
Location Description | Not set |
QA Service Level | 1 (Verified on 06/17/2019) |
Sample Information
Sample Taken Date | 04/23/2021 | Sample Unique Key | 7 |
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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 | 04/26/2021 |
Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ivan | Last name of sampler or witnessed by | Lopez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 999-423 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | SLC | 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 | CTS 30 RAM |
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The truck number from where the sample was collected | 14 | 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 | Grove off ramp lane 2 and wb route 60 and eb route 60 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2021-04-23-7-1 ASTM C39-18 (Verified)