Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-07-21-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209503 DEA: 11257154 EFIS: 1100020489 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-76,15-R46.2/R46.8, R12.1/R17.7 |
| Award Date | 08/04/2014 |
| Closeout Date | 08/16/2021 |
| Work Description | CONSTRUCT 4 LANE HIGHWAY. |
| Location Description | SAN DIEGO COUNTY NEAR BONSALL AND FALLBROOK ON ROUTE 15 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 76/15 SEPARATION AND ON ROUTE 76 FROM 0.4 MILE WEST OF SOUTH MISSION ROAD TO 0.5 MILE EAST OF ROUTE 76/15 SEPARATION |
| QA Service Level | 1 (Verified on 08/25/2014) |
Sample Information
| Sample Taken Date | 07/21/2015 | 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 | 07/23/2015 |
| 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 | DAVID | Last name of sampler or witnessed by | WEEKS |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 951-258-8382 |
| Laboratory sample identification | 913-01 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | L79 CSIP 001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | CONSTRUCT 4 LANE HWY |
| Structure name | CASTING BED 9 GIRDER G1 8 |
Material Information
| Material Type | Concrete | The concrete mix design number | 1457-1 |
|---|---|---|---|
| The truck number from where the sample was collected | LOAD 7 | The batch plant ticket number from where the sample was collected | 56933 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TUCKER DISCHARGE | 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: 2015-07-21-2-1 CTM 521-November 2014 (Verified)