Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-09-21-6
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Project Information
| Project Identifiers | Project ID: 210228 DEA: 081G1704 EFIS: 0815000154 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-60,060-21.37, 21.4 |
| Award Date | 02/09/2015 |
| Closeout Date | 01/20/2016 |
| Work Description | Repair Bridge at Theodore Street Overcrossing Br # 56-0488 |
| Location Description | Near Moreno Valley |
| QA Service Level | 1 (Verified on 03/16/2015) |
Sample Information
| Sample Taken Date | 09/21/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/02/2015 |
| 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 | silvia | Last name of sampler or witnessed by | STRANCER |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 922-04 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS | Transportation Laboratory (TL) Number | 004 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | THEODORE ST OC |
| Structure name | INTERCHANGE AND END DIAPHRAGMS |
Material Information
| Material Type | Concrete | The concrete mix design number | SC675B38 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 1257889 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUTE | 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: 2015-09-21-6-1 ASTM C39-17a (Verified)