Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-05-1
Project Information
Project Identifiers | Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1 |
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DIST-CO-RTE-PM | 08-RIV-91-15.6/21.6 |
Award Date | 02/10/2012 |
Closeout Date | 07/27/2023 |
Work Description | CONSTRUCT HOV LANES AND WIDEN BRIDGES. |
Location Description | RIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION |
QA Service Level | 1 (Verified on 04/27/2012) |
Sample Information
Sample Taken Date | 06/05/2015 | Sample Unique Key | 1 |
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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 | Concrete cylinder |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Edwin | Last name of sampler or witnessed by | Edles |
Title of sampler | TE | Telephone number of sampler | 951-830-6811 |
Laboratory sample identification | 825-68 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Site | Transportation Laboratory (TL) Number | 01568 |
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 |
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The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1065171 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | DS 108e Manhole EZ at Vine st Form | Where the material sample would have been placed if not sampled | DS 108e Manhole EZ at Vine st |
From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2015-06-05-1-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-06-05-1-2 CTM 521-November 2014 (Verified)