Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2023-06-05-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994441 DEA: 081A8304 EFIS: 0800000579 COOP: 081746 |
|---|---|
| DIST-CO-RTE-PM | 08--- |
| Award Date | 10/05/2022 |
| Closeout Date | Not set |
| Work Description | Widening the existing Cedar Avenue overcrossing (OC) from 6 to 10 lanes, replacing the Union Pacific Railroad overhead (OH), widening Cedar Avenue from 4 to 6 through lanes, and realigning and/or widening the interchange entrance and exit ramps |
| Location Description | At the Interstate 10 (I-10) Cedar Avenue Interchange from PM 17.8 to 19.3 in the County of San Bernardino (County) |
| QA Service Level | 2 (Verified on 12/13/2022) |
Sample Information
| Sample Taken Date | 06/05/2023 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 06/05/2023 |
| Sample type | Quality Control | A brief description of the sample | 1 CY of Concrete for Testing |
| The quantity of what the sample constitutes | 1 CY of Concrete for Testing | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | VER-98LV |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 8690 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Bed 1B, 3rd Truck | 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. | |||