Sample Record
Owner Lab
- CT D08 - Blythe Field Testing Laboratory
DIME Sample ID 2023-05-24-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994068 DEA: 081C7204 EFIS: 0813000003 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R96.1/R124.3 |
| Award Date | 08/02/2022 |
| Closeout Date | 02/23/2024 |
| Work Description | IMPORTED BORROW, SHOULDER BACKING, AND STRUCTURAL CONCRETE. |
| Location Description | SAN BERNARDINO ABOUT 22 MILES NORTHEAST OF BARSTOW AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF HARVARD ROAD OVERCROSSING TO 0.1 MILE NORTH OF RASOR ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/30/2022) |
Sample Information
| Sample Taken Date | 05/24/2023 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 05/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5" PCC AGRREGATE |
| The quantity of what the sample constitutes | 3 Bags | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | francisco | Last name of sampler or witnessed by | Ruvaicaba |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 05242023 TEST 01 20 CY OUT AT 0745 AM | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Barstow | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0046 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | SC590B38 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-24-54-1 AASHTO T27-14 (Verified)