Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-15-60
Project Information
Project Identifiers | Project ID: 994773 DEA: 081C7704 EFIS: 0813000017 |
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DIST-CO-RTE-PM | 08-SBD-15-80.6,R119.1 |
Award Date | 06/20/2023 |
Closeout Date | Not set |
Work Description | CAST-IN-DRILLED-HOLE CONC PILE, FURNISH & INSTALL SIGN STR, AND MGS. |
Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW AT 1.2 MILES SOUTH OF GHOST TOWN ROAD AND AT 1.4 MILES SOUTH OF BASIN ROAD |
QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
Sample Taken Date | 05/15/2024 | Sample Unique Key | 60 |
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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 | 05/16/2024 |
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 | Francisco | Last name of sampler or witnessed by | Ruvalcaba |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 1066-2 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Hi Grade Oro Grande | Transportation Laboratory (TL) Number | 1 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | HG98537S |
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The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 1 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | SB I15 PM 119.1 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-05-15-60-1 ASTM C39-10 (Verified)