Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-03-07-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994591 DEA: 081J6704 EFIS: 0818000090 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-9.4/16.3 |
| Award Date | 05/04/2023 |
| Closeout Date | Not set |
| Work Description | MINOR CONCRETE, MODIFYING SIGNAL AND LIGHTING SYSTEMS, HMA AND JPCP. |
| Location Description | RIVERSIDE COUNTY IN MURRIETA AND WILDOMAR AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF MURRIETA HOT SPRINGS ROAD OVERCROSSING TO BUNDY CANYON ROAD UNDERCROSSING. |
| QA Service Level | 1 (Verified on 06/20/2023) |
Sample Information
| Sample Taken Date | 03/07/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 03/08/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Zaid | Last name of sampler or witnessed by | Hilli |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | 1062-3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete Inc. | Transportation Laboratory (TL) Number | 1062-3 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | Not Provided | The batch plant ticket number from where the sample was collected | Not Provided |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | I15 Clinton Keith NB Off Ramp | 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: 2024-03-07-21-1 ASTM C39-10 (Verified)