Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-10-17-34
Project Information
Project Identifiers | Project ID: 993529 DEA: 11430514 EFIS: 1119000008 |
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DIST-CO-RTE-PM | 11-SD-15-R31.3/R37.1 |
Award Date | 05/27/2022 |
Closeout Date | Not set |
Work Description | CRCP, FIBER OPTIC CABLE, AND HMA. |
Location Description | SAN DIEGO COUNTY IN AND NEAR ESCONDIDO FROM 0.2 MILE SOUTH OF ROUTE 15/78 SEPARATION TO 0.5 MILE NORTH OF DEER SPRINGS ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 02/07/2022) |
Sample Information
Sample Taken Date | 10/17/2023 | Sample Unique Key | 34 |
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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 | 10/20/2023 |
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 | Jesse | Last name of sampler or witnessed by | Gastelum |
Title of sampler | Field Tech | Telephone number of sampler | |
Laboratory sample identification | 1055-01 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 271601 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | G3-22--PCC-313 |
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The truck number from where the sample was collected | Not Provided | The batch plant ticket number from where the sample was collected | Not Provided |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Not Provided | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-10-17-34-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-10-17-34-2 ASTM C39-21 (Verified)