Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-11-10-44
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995107 DEA: 081P3104 EFIS: 0823000157 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-60-21.369/21.369 |
| Award Date | 06/26/2023 |
| Closeout Date | 07/31/2024 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/28/2023) |
Sample Information
| Sample Taken Date | 11/10/2023 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 11/15/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | WAMI |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1056-1110 | Linked DIME Sample ID | 2023-11-10-44 |
| The fabricator/manufacturer/facility name | Robertson | 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 | SC675834 |
|---|---|---|---|
| The truck number from where the sample was collected | Not Provided on TL | The batch plant ticket number from where the sample was collected | Not Provided on TL |
| Concrete batch plant | Robertson Banning | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Theodore St. OC Bridge Deck | 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: 2023-11-10-44-1 ASTM C39-10 (Verified)
DIME Test ID: 2023-11-10-44-2 ASTM C39-10 (Verified)