Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-06-22-26
Project Information
Project Identifiers | Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 |
---|---|
DIST-CO-RTE-PM | 08-RIV-10-6.7/R25.1 |
Award Date | 11/26/2019 |
Closeout Date | 11/01/2023 |
Work Description | Remove concrete pavement and base, and place HMA and JPCP |
Location Description | ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON. |
QA Service Level | 1 (Verified on 01/09/2020) |
Sample Information
Sample Taken Date | 06/22/2022 | Sample Unique Key | 26 |
---|---|---|---|
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 | 06/24/2022 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 |
The quantity of what the sample constitutes | 6` | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Zacharia | Last name of sampler or witnessed by | Roush |
Title of sampler | QA Inspector | Telephone number of sampler | |
Laboratory sample identification | 1012-70RR | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | coffman | Transportation Laboratory (TL) Number | 70RR |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 1906-17 |
---|---|---|---|
The truck number from where the sample was collected | 69 | The batch plant ticket number from where the sample was collected | 12 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Riv10-A Sta 6750 WB Lane 3 and 4 Near WB Highland Springs Off Ramp LOAD 12 | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |