Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2021-08-25-11
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215612 DEA: 081L6904 EFIS: 0820000139 |
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DIST-CO-RTE-PM | 08-SBD-10,60-9.9/R24.2,R0.0/R4.6 |
Award Date | 05/06/2021 |
Closeout Date | 10/13/2022 |
Work Description | INDIVIDUAL SLAB REPLACEMENT. |
Location Description | SAN BERNARDINO COUNTY ON ROUTE 10 FROM ROUTE 15 TO ROUTE 215 AND ON ROUTE 60 FROM 0.1 MILE EAST OF RESERVOIR STREET UNDERCROSSING TO EUCLID AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 08/25/2021 | Sample Unique Key | 11 |
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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 | 08/26/2021 |
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 | 4RA,4RB,4RC | 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 | TTI | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | On Job Site at Concrete Truck | 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: 2021-08-25-11-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-08-25-11-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-08-25-11-3 CTM 524-March 2013 (Verified)