Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-10-04-9
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Project Information
| Project Identifiers | Project ID: 211529 DEA: 11427404 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-94-50.64, 50.64 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Replace Campo Creek bridge # 57-0120 |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/23/2016) |
Sample Information
| Sample Taken Date | 10/04/2016 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 10/05/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 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 | DAVID | Last name of sampler or witnessed by | WEEKS |
| Title of sampler | QA INSPECTOR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 948-006 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | OLDCAST PRECAST PERRIS | Transportation Laboratory (TL) Number | L79-7466-006 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | CAMPO CREEK BRIDGE |
| Structure name | CAMPO CREEK BRIDGE |
Material Information
| Material Type | Concrete | The concrete mix design number | UV-300 |
|---|---|---|---|
| The truck number from where the sample was collected | 5 | The batch plant ticket number from where the sample was collected | 53847 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | OLDCASTLE PRECAST CASTING BED A4 |
| A detailed description of where the material sample was collected | TUCKER TRANSPORTER DISCHARGE | Where the material sample would have been placed if not sampled | OLDCASTLE PRECAST CASTING BED A4 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-10-04-9-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-10-04-9-2 ASTM C39-17a (Verified)