Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-11-7
Project Information
Project Identifiers | Project ID: 208682 DEA: 083401U4 EFIS: 0800000609 |
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DIST-CO-RTE-PM | 08-SBD-138,138-6.2/6.4,2.3/R15.2 |
Award Date | 09/10/2014 |
Closeout Date | 06/23/2021 |
Work Description | WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO |
Location Description | SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138 |
QA Service Level | 1 (Verified on 03/11/2013) |
Sample Information
Sample Taken Date | 06/11/2015 | 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 | 06/17/2015 |
Sample type | Quality Control | A brief description of the sample | 6x12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | silvia | Last name of sampler or witnessed by | strancer |
Title of sampler | asr | Telephone number of sampler | Unknown |
Laboratory sample identification | 908-01 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | job | Transportation Laboratory (TL) Number | 001 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | sheep creek bridge |
Structure name | pier 2 and 3 footings |
Material Information
Material Type | Concrete | The concrete mix design number | np |
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The truck number from where the sample was collected | 180 | 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 | chute | 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: 2015-06-11-7-1 CTM 521-November 2014 (Verified)