Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-08-35
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994311 DEA: 080R1704 EFIS: 0812000028 |
|---|---|
| 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 | 04/08/2024 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 04/09/2024 |
| 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 | Fernando | Last name of sampler or witnessed by | Carranza |
| Title of sampler | QA Atlas | Telephone number of sampler | |
| Laboratory sample identification | 1060-48 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertson | Transportation Laboratory (TL) Number | 1060-48 |
| 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 |
|---|---|---|---|
| The truck number from where the sample was collected | 2225 | The batch plant ticket number from where the sample was collected | 572116 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | I40 Near Hector Road DS 17 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||