Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-04-29-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 209217 DEA: 080F5404 EFIS: 0800000136 COOP: 081468 |
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DIST-CO-RTE-PM | 08-RIV-91,15-0.0/13.04, 35.64/45.14 |
Award Date | 09/09/2013 |
Closeout Date | 09/20/2023 |
Work Description | SR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas. |
Location Description | 08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14 |
QA Service Level | 1 (Verified on 08/07/2014) |
Sample Information
Sample Taken Date | 04/29/2016 | Sample Unique Key | 3 |
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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 | 05/03/2016 |
Sample type | Quality Control | A brief description of the sample | 6X12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | ARMANDO | Last name of sampler or witnessed by | SALAZAR |
Title of sampler | TE | Telephone number of sampler | Unknown |
Laboratory sample identification | 888-SRL175 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | HOLLIDAY | Transportation Laboratory (TL) Number | SRL 175 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | NP |
Structure name | NP |
Material Information
Material Type | Concrete | The concrete mix design number | CM5633 |
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The truck number from where the sample was collected | 633 | The batch plant ticket number from where the sample was collected | 118046108 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | LOAD 6 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2016-04-29-3-1 ASTM C39-17a (Verified)