Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2023-07-14-40
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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 | 07/14/2023 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 07/15/2023 |
| Sample type | Acceptance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 3 Beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nathan | Last name of sampler or witnessed by | Ogbasellasie |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 3-A1,3-A2,3-A3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex, Fontana | 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 | LB0608SP |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 4 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of concrete truck | 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: 2023-07-14-40-1 CTM 533-June 2010 (Verified)
DIME Test ID: 2023-07-14-40-2 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-07-14-40-3 CTM 518-June 2010 (Verified)
DIME Test ID: 2023-07-14-40-4 CTM 523-May 2020 (Verified)