Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2022-05-11-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
| Award Date | 04/26/2021 |
| Closeout Date | Not set |
| Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 05/11/2022 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 07/12/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate and Sand |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | jlius | Last name of sampler or witnessed by | e |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | TEST 1 AT 1130AM OF 20 CY OUT | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertson Pomona | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 6427 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | AMES CONSTRUCTION | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | sc190b38 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-05-11-67-1 AASHTO T27-14 (Verified)