Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-06-30-2

Project Information

Project IdentifiersProject ID: 208682
DEA: 083401U4
EFIS: 0800000609
DIST-CO-RTE-PM08-SBD-138,138-6.2/6.4,2.3/R15.2
Award Date09/10/2014
Closeout Date06/23/2021
Work DescriptionWIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location DescriptionSAN 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 Level1 (Verified on 03/11/2013)

Sample Information

Sample Taken Date06/30/2016 Sample Unique Key2
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 testing06/27/2016
Sample typeQuality Assurance A brief description of the sampleConcrete Cyliders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byJohnny Last name of sampler or witnessed byDELACRUZ
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification06-27-16-27A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHig Grade Transportation Laboratory (TL) Number062716-27A
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collected2 206688 The batch plant ticket number from where the sample was collected206688
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedSite Where the material sample would have been placed if not sampledDS 113 Decks and Walls
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments