Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-10-20-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993834 DEA: 081N0304 EFIS: 0822000082 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-179.4 |
| Award Date | 09/07/2022 |
| Closeout Date | Not set |
| Work Description | MONUMENT SIGN AESTHETICS. |
| Location Description | SAN BERNARDINO COUNTY NEAR PRIMM AT CALIFORNIA AGRICULTURAL INSPECTION STATION |
| QA Service Level | 1 (Verified on 10/24/2022) |
Sample Information
| Sample Taken Date | 10/20/2023 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 10/23/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 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 | Alvin | Last name of sampler or witnessed by | Anggito |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1052-2 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Gunner Concrete | Transportation Laboratory (TL) Number | 081N030420231020 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1619144 |
|---|---|---|---|
| The truck number from where the sample was collected | 0000 | The batch plant ticket number from where the sample was collected | 48021468 |
| Concrete batch plant | Cemex Bullhead City | The fabricator/manufacturer designation for the sample | Cemex |
| A detailed description of where the material sample was collected | Re-Pour of Monument Sign Foundation | 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: 2023-10-20-15-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-10-20-15-2 ASTM C39-21 (Verified)
DIME Test ID: 2023-10-20-15-3 ASTM C39-21 (Verified)
DIME Test ID: 2023-10-20-15-4 ASTM C39-21 (Verified)