Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-03-18-1

Project Information

Project IdentifiersProject ID: 5266
DEA: 08448404
EFIS: 0800000712
COOP: 081488A1
DIST-CO-RTE-PM08-RIV-91-15.6/21.6
Award Date02/10/2012
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location DescriptionRIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
QA Service Level1 (Verified on 04/27/2012)

Sample Information

Sample Taken Date03/18/2015 Sample Unique Key1
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 testing03/19/2015
Sample typeQuality Control A brief description of the samplecylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byedwin Last name of sampler or witnessed byedles
Title of samplerte Telephone number of samplerUnknown
Laboratory sample identification825-17 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namerobertsons Transportation Laboratory (TL) Number015317
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numbersm446b39
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected9928180
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedbox culvert at ds Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.