Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-01-20-2
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Project Information
| Project Identifiers | Project ID: 209795 DEA: 08383504 EFIS: 0800000638 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-63.0 |
| Award Date | 10/10/2014 |
| Closeout Date | 08/29/2017 |
| Work Description | REPLACE HURKEY CREEK BRIDGE |
| Location Description | RIVERSIDE COUNTY NEAR IDYLLWILD AT HURKEY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/12/2014) |
Sample Information
| Sample Taken Date | 01/20/2016 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/21/2016 |
| Sample type | Quality Control | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | SHUKRI | Last name of sampler or witnessed by | ABOUAZRA |
| Title of sampler | SR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 918-05 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSON | Transportation Laboratory (TL) Number | 005 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | HURKEY CREEK BRIDGE |
| Structure name | ABUTMENT 1 STAGE 2 |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM09014 |
|---|---|---|---|
| The truck number from where the sample was collected | NP | The batch plant ticket number from where the sample was collected | NP |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | TRUCK | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2016-01-20-2-1 ASTM C39-17a (Verified)