Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-12-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215747 DEA: 081L4904 EFIS: 0820000086 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD,RIV-10-var |
| Award Date | 06/18/2021 |
| Closeout Date | 06/26/2023 |
| Work Description | INSTALL TRUCK PARKING AVAILABILITY SIGN AND LIGHTING SYSTEM. |
| Location Description | SAN BERNARDINO AND RIVERSIDE COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 04/12/2022 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 04/14/2022 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Benjamin | Last name of sampler or witnessed by | Martinez |
| Title of sampler | JET | Telephone number of sampler | |
| Laboratory sample identification | 1038-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | EARTH SYSTEMS | Transportation Laboratory (TL) Number | E01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 22027HE |
|---|---|---|---|
| The truck number from where the sample was collected | 61 | The batch plant ticket number from where the sample was collected | 25811 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Wiley s well rest area Blythe CA | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-12-24-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-04-12-24-2 ASTM C39-21 (Verified)