Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-06-14-69
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-115-R7.3/R10.0 |
| Award Date | 04/26/2021 |
| Closeout Date | Not set |
| Work Description | ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 06/14/2023 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 05/27/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinder |
| The quantity of what the sample constitutes | 6 cylinder | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Wami |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1040-614A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Boral | Transportation Laboratory (TL) Number | 1040-614A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SM445B37 |
|---|---|---|---|
| The truck number from where the sample was collected | 1712 | The batch plant ticket number from where the sample was collected | 7850790 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | PIER 2 AND 3 FOOTINGS | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-14-69-1 ASTM C39-10 (Verified)
DIME Test ID: 2023-06-14-69-2 ASTM C39-10 (Verified)
DIME Test ID: 2023-06-14-69-3 ASTM C39-10 (Verified)