Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-05-31-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-2.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 05/31/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/01/2022 |
| Sample type | Quality Control | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ruben Lopez | Last name of sampler or witnessed by | np |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1037-531 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 531 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | 70459 | The batch plant ticket number from where the sample was collected | 302167078 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | NB I215, Near Washington Exit, RW Footing 105 Load 6, 60 CY | 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: 2022-05-31-9-1 ASTM C39-10 (Verified)