Sample Record

Owner Lab

  • RMA Group - Rancho Cucamonga

DIME Sample ID 2014-05-23-10454275

Project Information

Project IdentifiersProject ID: 7780
DEA: 112T1824
EFIS: 1100020051
DIST-CO-RTE-PM11-SD-805-4.7/5.6
Award Date01/03/2013
Closeout Date09/07/2018
Work DescriptionREPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location DescriptionSAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date05/23/2014 Sample Unique Key10454275
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 testingNot set
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes5 cylinders From where was the sample collectedSource
First name of sampler or witnessed byPatrick Last name of sampler or witnessed byKelley
Title of samplerNot set Telephone number of sampler(951) 443-8494
Laboratory sample identification2014-05-23-1045 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Mission Valley Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier2014-05-23-1045
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design number103612F
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected114921
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collected301L Section 18 Soundwall Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

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