Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-07-3
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Project Information
| Project Identifiers | Project ID: 209553 DEA: 08336304 EFIS: 0800000608 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-38-26.3/26.8 |
| Award Date | 07/25/2014 |
| Closeout Date | 06/13/2016 |
| Work Description | BRIDGE DECK REPLACEMENT |
| Location Description | SAN BERNARDINO COUNTY NEAR BARTON FLATS AT HATHAWAY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 02/27/2015) |
Sample Information
| Sample Taken Date | 08/07/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/10/2015 |
| Sample type | Quality Control | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | E | Last name of sampler or witnessed by | HAMEL |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | 906-2 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | 2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 08 SBD 38 26 3 26 8 |
| Structure name | RTE 38 SB BRIDGE CONC BARRIER |
Material Information
| Material Type | Concrete | The concrete mix design number | C973395E |
|---|---|---|---|
| The truck number from where the sample was collected | 202 | The batch plant ticket number from where the sample was collected | 2839 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | NP | 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: 2015-08-07-3-1 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-08-07-3-2 CTM 521-November 2014 (Verified)
DIME Test ID: 2015-08-07-3-3 CTM 521-November 2014 (Verified)