Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-20-22
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210484 DEA: 080R8114 EFIS: 0815000105 |
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DIST-CO-RTE-PM | 08-RIV-215-R15.0 |
Award Date | 06/16/2015 |
Closeout Date | 12/07/2015 |
Work Description | INSTALL A WEIGH-IN-MOTION (WIM) SYSTEM |
Location Description | RIVERSIDE COUNTY NEAR MURRIETA AT 0.5 MILE NORTH OF KELLER ROAD. |
QA Service Level | 1 (Verified on 07/21/2015) |
Sample Information
Sample Taken Date | 08/20/2015 | Sample Unique Key | 22 |
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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 | 08/25/2015 |
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 | A | Last name of sampler or witnessed by | SALAZAR |
Title of sampler | TE | Telephone number of sampler | Unknown |
Laboratory sample identification | 919-2 | 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 | R15 |
Structure name | LANE 2 PANEL 6 215 SB |
Material Information
Material Type | Concrete | The concrete mix design number | V30LCBRS |
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The truck number from where the sample was collected | V294 | The batch plant ticket number from where the sample was collected | NP |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | LOAD 2 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2015-08-20-22-1 ASTM C39-17a (Verified)