Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-03-10-12

Project Information

Project IdentifiersProject ID: 209453
DEA: 080J8504
EFIS: 0800000324
DIST-CO-RTE-PM08-SBD-138-R24.1
Award Date07/01/2014
Closeout Date07/05/2017
Work DescriptionREPLACE EXISTING BRIDGE.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT HORSETHIEF CREEK BRDIGE
QA Service Level1 (Verified on 04/16/2014)

Sample Information

Sample Taken Date03/10/2015 Sample Unique Key12
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 testing03/27/2015
Sample typeQuality Control A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed bymandeep Last name of sampler or witnessed bykingra
Title of samplerasr Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namesite Transportation Laboratory (TL) Number150310
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number4F50X001
The truck number from where the sample was collected307 The batch plant ticket number from where the sample was collected109000366
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedpier 2 pile 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments