Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-09-21-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 209950 DEA: 080N56U4 EFIS: 0813000176 |
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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 | 09/21/2016 | Sample Unique Key | 3 |
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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 | 09/26/2016 |
Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
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 | 907-21A | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 20160921A |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | RRM15027 |
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The truck number from where the sample was collected | 1180 | The batch plant ticket number from where the sample was collected | 2213108 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | site load 8 | Where the material sample would have been placed if not sampled | Clipper Valley Wash Pier 4 Footing |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2016-09-21-3-1 ASTM C39-17a (Verified)