Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-07-10-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1 |
|---|---|
| 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 | 07/10/2015 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/02/2015 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete 6 x 12 Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Modiri | Last name of sampler or witnessed by | Fuad |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 825-14C | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 150714C |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Ivy st OH |
Material Information
| Material Type | Concrete | The concrete mix design number | 1420004 |
|---|---|---|---|
| The truck number from where the sample was collected | Not Provided | The batch plant ticket number from where the sample was collected | Not Provided |
| Concrete batch plant | Not Provided | The fabricator/manufacturer designation for the sample | Not Provided |
| A detailed description of where the material sample was collected | Not Provided | Where the material sample would have been placed if not sampled | Ivy st OH Replace CIDH piles |
| 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: 2015-07-10-2-1 CTM 521-November 2014 (Verified)