Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-09-15-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994191 DEA: 081G8304 EFIS: 0816000079 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R100.8/R101.8 |
| Award Date | 12/01/2022 |
| Closeout Date | Not set |
| Work Description | HMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW. |
| Location Description | SAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE |
| QA Service Level | 1 (Verified on 03/30/2023) |
Sample Information
| Sample Taken Date | 09/15/2023 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 09/16/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Francisco | Last name of sampler or witnessed by | Rubalcaba |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 1053-3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 1053-3 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | STA 3596.16 3597.96 3599.75 3601.55 | 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: 2023-09-15-27-1 ASTM C39-21 (Verified)