Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-02-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209681 DEA: 080J9304 EFIS: 0800020192 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-147.6 |
| Award Date | 08/25/2014 |
| Closeout Date | 07/22/2015 |
| Work Description | BRIDGE REHABILITATION |
| Location Description | SAN BERNARDINO COUNTY NEAR BAKER AT HALLORAN WASH BRIDGE. |
| QA Service Level | 1 (Verified on 10/08/2014) |
Sample Information
| Sample Taken Date | 06/02/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 06/08/2015 |
| Sample type | Quality Control | A brief description of the sample | 6x12 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 | SEROP | Last name of sampler or witnessed by | SABAKHIM |
| Title of sampler | asp | Telephone number of sampler | Unknown |
| Laboratory sample identification | 904-17 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Halloran Wash Bridge | Transportation Laboratory (TL) Number | 08147A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Unknown | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-06-02-6-1 CTM 521-November 2014 (Verified)