Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-08-20-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993302 DEA: 081J2104 EFIS: 0817000240 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-60-R1.4 |
| Award Date | 12/28/2021 |
| Closeout Date | 08/01/2024 |
| Work Description | PLACE LCB RAPID SETTING AND JOINTED PLAIN CONCRETE PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY IN CHINO AT RAMONA AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 10/27/2021) |
Sample Information
| Sample Taken Date | 08/20/2022 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 08/26/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | A | Last name of sampler or witnessed by | P |
| Title of sampler | G3 | Telephone number of sampler | |
| Laboratory sample identification | 1043-2 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | RVC | Transportation Laboratory (TL) Number | 1043-2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | Not Provided |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | NA | |
| A detailed description of where the material sample was collected | EB60 Ramona STA 6900 | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-20-5-1 ASTM C39-10 (Verified)