Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2021-05-13-20
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215212 DEA: 081F1434 EFIS: 0815000233 |
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DIST-CO-RTE-PM | 08-RIV-15-38.2/51.5 |
Award Date | 12/04/2020 |
Closeout Date | 03/01/2023 |
Work Description | INDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT. |
Location Description | RIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION |
QA Service Level | 1 (Verified on 03/30/2021) |
Sample Information
Sample Taken Date | 05/13/2021 | Sample Unique Key | 20 |
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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 | 05/14/2021 |
Sample type | Quality Assurance | A brief description of the sample | PCC Rapid set beams |
The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Job Site |
First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 6RA,6RB,6RC | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Myers and Sons Construction | 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 | 800-3RSC |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TT | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | concrete sample from wheelbarrow | 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: 2021-05-13-20-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-05-13-20-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-05-13-20-3 CTM 524-March 2013 (Verified)