Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2020-12-30-12
Project Information
Project Identifiers | Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 |
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DIST-CO-RTE-PM | 08-SBD-15-12.5/14.8 |
Award Date | 12/23/2019 |
Closeout Date | 01/18/2022 |
Work Description | REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT. |
Location Description | SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING |
QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
Sample Taken Date | 12/30/2020 | Sample Unique Key | 12 |
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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 | 12/31/2020 |
Sample type | Quality Assurance | A brief description of the sample | Concrete beams |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | Francisco |
Title of sampler | te | Telephone number of sampler | |
Laboratory sample identification | 29 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | cemex | 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 | LB0600AB |
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The truck number from where the sample was collected | truck | The batch plant ticket number from where the sample was collected | 5931835 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | from mix truck | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |