Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-12-22-14
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Project Information
| Project Identifiers | Project ID: 209950 DEA: 080N56U4 EFIS: 0813000176 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R94.7/R99.7 |
| Award Date | 01/22/2015 |
| Closeout Date | 09/17/2018 |
| Work Description | BRIDGE REPLACEMENTS. |
| Location Description | SAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE |
| QA Service Level | 1 (Verified on 04/29/2015) |
Sample Information
| Sample Taken Date | 12/22/2015 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 12/24/2015 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JAY | Last name of sampler or witnessed by | A |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | Unknown |
| Laboratory sample identification | 907-R15 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSON | Transportation Laboratory (TL) Number | R122215 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM15028 |
|---|---|---|---|
| The truck number from where the sample was collected | 1692 | The batch plant ticket number from where the sample was collected | 1309408 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | BATCH PLANT |
| A detailed description of where the material sample was collected | WHEELBARROW LOAD 8 | Where the material sample would have been placed if not sampled | DECK |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-12-22-14-1 ASTM C39-17a (Verified)
DIME Test ID: 2015-12-22-14-2 ASTM C39-17a (Verified)
DIME Test ID: 2015-12-22-14-3 ASTM C39-17a (Verified)