Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-08-31-11
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 209950 DEA: 080N56U4 EFIS: 0813000176 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R94.7/R99.7 |
| Award Date | 01/22/2015 |
| Closeout Date | 09/17/2018 |
| Work Description | BRIDGE REPLACEMENTS. |
| Location Description | SAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE |
| QA Service Level | 1 (Verified on 04/29/2015) |
Sample Information
| Sample Taken Date | 08/31/2016 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 09/06/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | ROBERT | Last name of sampler or witnessed by | BERSBACH |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 907-06C | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | robertsons | Transportation Laboratory (TL) Number | 2016-06C |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | HALLER WASH |
| Structure name | ABUTMENT 2 FOOTING |
Material Information
| Material Type | Concrete | The concrete mix design number | rrm15027 |
|---|---|---|---|
| The truck number from where the sample was collected | 1180 | The batch plant ticket number from where the sample was collected | 2212915 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | load 14 | Where the material sample would have been placed if not sampled | ABUTMENT 2 FOOTING |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
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. | |||