Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-18-7
Project Information
Project Identifiers | Project ID: 210012 DEA: 080M2004 EFIS: 0800000467 |
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DIST-CO-RTE-PM | 08-RIV-371-67.7/72.9 |
Award Date | 01/28/2015 |
Closeout Date | 11/29/2016 |
Work Description | CONSTRUCT SHOULDER/RETAINING WALL ON BOTH DIRECTIONS OF ROUTE 371 |
Location Description | RIVERSIDE COUNTY NEAR ANZA AND CAHUILLA FROM EAST OF CARY ROAD TO EAST OF KIRBY ROAD |
QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
Sample Taken Date | 06/18/2015 | 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 | 06/22/2015 |
Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | AMIT | Last name of sampler or witnessed by | JOSHI |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 911-01 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 1 |
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 | D9385P |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | HEADWALL DRAINAGE SYSTEM 3 AND 4 | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |