Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-09-08-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993847 DEA: 081M8604 EFIS: 0822000056 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-180.2/186.2 |
| Award Date | 06/23/2022 |
| Closeout Date | 12/12/2022 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HMA (GAP GRADED). |
| Location Description | SAN BERNARDINO COUNTY ABOUT 43 MILES NORTH OF BAKER FROM 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING TO NEVADA STATE LINE |
| QA Service Level | 1 (Verified on 12/05/2022) |
Sample Information
| Sample Taken Date | 09/08/2022 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 09/09/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Derek | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | Ass Stur Rep | Telephone number of sampler | |
| Laboratory sample identification | 1046-01 | Linked DIME Sample ID | 2022-09-08-21 |
| The fabricator/manufacturer/facility name | Las Vegs Paving Company-Las Vegas | Transportation Laboratory (TL) Number | 01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | P40F023 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete Barrier Type 505D Footing | 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: 2022-09-08-21-1 ASTM C39-10 (Verified)