Sample Record

Owner Labs

  • CEMEX - Rockfield
  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-06-01-4

Project Information

Project IdentifiersProject ID: 213764
DEA: 080F0304
EFIS: 0800020358
DIST-CO-RTE-PM08-SBD-60-R0.7/R3.0
Award DateNot set
Closeout DateNot set
Work DescriptionREMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location DescriptionIN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2019)

Sample Information

Sample Taken Date06/01/2021 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/01/2021
Sample typeQuality Control A brief description of the sampleType 2 Control Cement
The quantity of what the sample constitutes3 From where was the sample collectedSource
First name of sampler or witnessed byAdriana Last name of sampler or witnessed byOrtiz
Title of sampler Telephone number of sampler3238053068
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namesilika Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)1111111
Batch number11111111 Mix number1111111

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-01-4-1ASTM D323-Jun15: Standard Test Method for Vapor Pressure of Petroleum Products (Reid Method)Adriana OrtizCT QASI - Los Angeles Field Laboratory06/01/2021Adriana Ortiz
No
Info