Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-06-28-18
Project Information
Project Identifiers | Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 |
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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 | 06/28/2022 | Sample Unique Key | 18 |
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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 | 06/29/2022 |
Sample type | Quality Control | A brief description of the sample | 4x8 |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tycos | Last name of sampler or witnessed by | DeLaney |
Title of sampler | Kleinfelder ASR | Telephone number of sampler | |
Laboratory sample identification | 1037-628A | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 1 |
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 |
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The truck number from where the sample was collected | 10067779 | The batch plant ticket number from where the sample was collected | 42040306 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Abutment 3 front wall - return wall | 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: 2022-06-28-18-1 ASTM C39-10 (Verified)
DIME Test ID: 2022-06-28-18-2 ASTM C39-10 (Verified)