Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-08-27-2
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Project Information
| Project Identifiers | Project ID: 210749 DEA: 081G5114 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-57.6/127.0, R57.6-R127.0, R57.6/R127 |
| Award Date | 08/07/2015 |
| Closeout Date | 03/15/2016 |
| Work Description | Secure bridges and build a crossover at Tex Wash |
| Location Description | In Riverside County from Jct 86/10 to Arco Ditch |
| QA Service Level | 1 (Verified on 08/13/2015) |
Sample Information
| Sample Taken Date | 08/27/2015 | 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 | 08/28/2015 |
| 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 | QA Inspector | Telephone number of sampler | Unknown |
| Laboratory sample identification | 920-03 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JOB | Transportation Laboratory (TL) Number | L79 0CPP 003 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | TEX WASH RIGHT BRIDGE |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | UV 285P |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 51164 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TUCKER TRANSPORTER TRUCK | 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: 2015-08-27-2-1 ASTM C39-17a (Verified)