Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-07-08-8

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Sample Information

Sample Taken Date07/08/2016 Sample Unique Key8
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 testing07/12/2016
Sample typeQuality Assurance A brief description of the sample6x12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byMIKE Last name of sampler or witnessed byNUNEZ
Title of samplerQC Tech Telephone number of samplerUnknown
Laboratory sample identification915-48A Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHI GRADE Transportation Laboratory (TL) NumberLCB 070816-48A
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierSR 58 EXPRESSWAY AT HINKLEY RD
Structure nameSTATION 1638 PLUS 28

Material Information

Material TypeConcrete The concrete mix design numberLB16 0048
The truck number from where the sample was collectedNOT PROVIDED The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNOT PROVIDED Where the material sample would have been placed if not sampledSTATION 1638 PLUS 28
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments