Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-11-45
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994692 DEA: 081N0504 EFIS: 0822000086 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-62-142.3 |
| Award Date | 09/18/2023 |
| Closeout Date | Not set |
| Work Description | MONUMENT SIGN AESTHETICS, STRUCTURAL CONCRETE AND SCULPTED SHOTCRETE. |
| Location Description | SAN BERNARDINO COUNTY NEAR ARIZONA STATE LINE AT 0.1 MILE SOUTH OF PARKER DAM ROAD |
| QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
| Sample Taken Date | 04/11/2024 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 04/15/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Amber | Last name of sampler or witnessed by | Christian |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 1065-411 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hi Grade Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CT675F25 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Monument Sign Foundation | 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. | |||