Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-01-13-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-2.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 01/13/2023 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 02/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | Alexander |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1037-55 | Linked DIME Sample ID | 2023-01-13-40 |
| The fabricator/manufacturer/facility name | Holiday Upland | Transportation Laboratory (TL) Number | 254055 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | Not Provided on TL |
|---|---|---|---|
| The truck number from where the sample was collected | Not Provided on TL | The batch plant ticket number from where the sample was collected | Not Provided on TL |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Water Pipe Vault Washington St OC | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||