Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-30-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208682 DEA: 083401U4 EFIS: 0800000609 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138,138-6.2/6.4,2.3/R15.2 |
| Award Date | 09/10/2014 |
| Closeout Date | 06/23/2021 |
| Work Description | WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO |
| Location Description | SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138 |
| QA Service Level | 1 (Verified on 03/11/2013) |
Sample Information
| Sample Taken Date | 06/30/2016 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 06/27/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cyliders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Johnny | Last name of sampler or witnessed by | DELACRUZ |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 06-27-16-27A | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hig Grade | Transportation Laboratory (TL) Number | 062716-27A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | SITI72A |
|---|---|---|---|
| The truck number from where the sample was collected | 2 206688 | The batch plant ticket number from where the sample was collected | 206688 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Site | Where the material sample would have been placed if not sampled | DS 113 Decks and Walls |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||