Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2022-04-13-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-173-18.7 |
| Award Date | 08/20/2020 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL. |
| Location Description | SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD |
| QA Service Level | 1 (Verified on 01/13/2020) |
Sample Information
| Sample Taken Date | 04/13/2022 | 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 | 04/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 3/8" PCC Aggregate and Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| 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 | test 1 32 cy out at1215 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ROBERTSON LAKE ARROWHEAD | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0008::CABAZON QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | SM418S48 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-13-17-1 AASHTO T27-14 (Verified)