Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-02-29-17
Project Information
Project Identifiers | Project ID: 994311 DEA: 080R1704 EFIS: 0812000028 |
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DIST-CO-RTE-PM | 08-SBD-40-R25.0/R50.0 |
Award Date | 12/01/2022 |
Closeout Date | Not set |
Work Description | CONSTRUCT CSP, CSPA, SSPPA, STR CONC HW, IB, BFM, RSP, & MGS. |
Location Description | SAN BERNARDINO COUNTY AT NEWBERRY SPRINGS AND LUDLOW FROM 1.6 MILES EAST OF FORT CADY ROAD OVERCROSSING TO CRUCERO ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 07/28/2023) |
Sample Information
Sample Taken Date | 02/29/2024 | Sample Unique Key | 17 |
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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 | 03/01/2024 |
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 | Ruvalcaba |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 1060-229 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertson | Transportation Laboratory (TL) Number | 1060-229 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | SM450P48 |
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The truck number from where the sample was collected | Not Provided | The batch plant ticket number from where the sample was collected | 3 |
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 | RTE 40 DS18 HEADWALL WB |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-02-29-17-1 ASTM C39-10 (Verified)
DIME Test ID: 2024-02-29-17-2 ASTM C39-10 (Verified)