Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-09-7
Project Information
Project Identifiers | Project ID: 209950 DEA: 080N56U4 EFIS: 0813000176 |
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DIST-CO-RTE-PM | 08-SBD-40-R94.7/R99.7 |
Award Date | 01/22/2015 |
Closeout Date | 09/17/2018 |
Work Description | BRIDGE REPLACEMENTS. |
Location Description | SAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE |
QA Service Level | 1 (Verified on 04/29/2015) |
Sample Information
Sample Taken Date | 06/09/2015 | Sample Unique Key | 7 |
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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 | 06/10/2015 |
Sample type | Preliminary | A brief description of the sample | 6X12 |
The quantity of what the sample constitutes | 5 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | TOM | Last name of sampler or witnessed by | SINH |
Title of sampler | TE | Telephone number of sampler | Unknown |
Laboratory sample identification | 907-04 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 004 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | TRIAL BATCH SET 4 |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | NP |
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The truck number from where the sample was collected | NP | The batch plant ticket number from where the sample was collected | NP |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | TUMBLE TRUCK | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2015-06-09-7-1 CTM 521-November 2014 (Verified)