Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-06-14-17
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Project Information
| Project Identifiers | Project ID: 215462 DEA: 080C8704 EFIS: 0800000064 COOP: 081687 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-SR 60-R2.08/2.80 |
| Award Date | 11/20/2020 |
| Closeout Date | Not set |
| Work Description | The project scope of work is widening approximately .7 miles of SR-60 at Central Avenue to accommodate three through-lanes with provisions for a future lane, two left-turn lanes, standard shoulders, bike path, and sidewalk in both the northbound and southbound directions |
| Location Description | Project Limits are SR-60 from 0.3 miles west to 0.4 miles east of Central Ave. PM 2.08/2.80 in Chino. |
| QA Service Level | 2 (Verified on 01/18/2021) |
Sample Information
| Sample Taken Date | 06/14/2021 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 06/17/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 Cylinders | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Martin | Last name of sampler or witnessed by | O |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1029-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Pomona | Transportation Laboratory (TL) Number | 1029-01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | J801153R |
|---|---|---|---|
| The truck number from where the sample was collected | 1950 | The batch plant ticket number from where the sample was collected | 6319824 |
| Concrete batch plant | Robertsons Pomona | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Batch Plant | 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: 2021-06-14-17-1 ASTM C39-18 (Verified)