Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-16-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210075 DEA: 051F8404 EFIS: 0514000067 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-10.0/10.6 |
| Award Date | 02/23/2015 |
| Closeout Date | 02/01/2018 |
| Work Description | REPLACE CONCRETE SLABS WITH PRECAST CONCRETE INDIVIDUAL SLABS. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM SAN YSIDRO ROAD OVERCROSSING TO OLIVE MILL ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 01/07/2015) |
Sample Information
| Sample Taken Date | 06/16/2015 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | GARY | Last name of sampler or witnessed by | MaCOMB |
| Title of sampler | ASSOC STEEL INSP | Telephone number of sampler | Unknown |
| Laboratory sample identification | 909-15 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | L10 SRL6 15 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | SANTA BARBARA |
| Structure name | REPLACE CONCRETE SLABS |
Material Information
| Material Type | Concrete | The concrete mix design number | 1508576 |
|---|---|---|---|
| The truck number from where the sample was collected | PC1 | The batch plant ticket number from where the sample was collected | 41695828 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRANSIT MIXER | 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: 2015-06-16-1-1 CTM 521-November 2014 (Verified)