Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2022-03-08-10
Project Information
Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
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DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
Award Date | 03/11/2020 |
Closeout Date | 06/05/2024 |
Work Description | I-15 ELC: 15/91 Express Lanes Connector Project (ELC) |
Location Description | Junction of I-15 and SR-91 in Corona, CA |
QA Service Level | 1 (Verified on 09/16/2020) |
Sample Information
Sample Taken Date | 03/08/2022 | Sample Unique Key | 10 |
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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 | 03/09/2022 |
Sample type | Quality Control | A brief description of the sample | PCC |
The quantity of what the sample constitutes | One girder | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Roberto | Last name of sampler or witnessed by | Reyes |
Title of sampler | QC Technician | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | SR 91 Temescale Wash OH |
Material Information
Material Type | Concrete | The concrete mix design number | SCC-S98-0F |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2271 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Back of the 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: 2022-03-08-10-1 ASTM C1064-17 (Verified)
DIME Test ID: 2022-03-08-10-2 ASTM C143-20 (Verified)
DIME Test ID: 2022-03-08-10-3 ASTM C138-17a (Verified)
DIME Test ID: 2022-03-08-10-4 ASTM C231-17a (Verified)
DIME Test ID: 2022-03-08-10-5 ASTM C39-21 (Verified)
DIME Test ID: 2022-03-08-10-6 CTM TEMP1-16 (Verified)
DIME Test ID: 2022-03-08-10-7 ASTM C39-21 (Verified)