Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-06-22-29
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Project Information
| Project Identifiers | Project ID: 215359 DEA: 081K1904 EFIS: 0818000207 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-16.1/169.4 |
| Award Date | 02/05/2021 |
| Closeout Date | 07/27/2022 |
| Work Description | REMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH. |
| QA Service Level | 1 (Verified on 03/30/2021) |
Sample Information
| Sample Taken Date | 06/22/2021 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 06/23/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Bonar |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1030-622 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Holliday | Transportation Laboratory (TL) Number | 1030-622 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 4C45L501 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 84 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | SITE | Where the material sample would have been placed if not sampled | West Hesperia OH |
| 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: 2021-06-22-29-1 ASTM C39-18 (Verified)