Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-12-19-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994191 DEA: 081G8304 EFIS: 0816000079 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R100.8/R101.8 |
| Award Date | 12/01/2022 |
| Closeout Date | Not set |
| Work Description | HMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW. |
| Location Description | SAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE |
| QA Service Level | 1 (Verified on 03/30/2023) |
Sample Information
| Sample Taken Date | 12/19/2023 | 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 | 12/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Francisco | Last name of sampler or witnessed by | R |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 1053-X5 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SKANSKA | Transportation Laboratory (TL) Number | X5 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1629107 |
|---|---|---|---|
| The truck number from where the sample was collected | 10076736 | The batch plant ticket number from where the sample was collected | 48112250 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | JOB | 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: 2023-12-19-15-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-12-19-15-2 ASTM C39-21 (Verified)