Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-10-15-4
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Project Information
| Project Identifiers | Project ID: 210695 DEA: 080K2924 EFIS: 0812000099 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-32.9/R37.4 |
| Award Date | 10/30/2015 |
| Closeout Date | 08/08/2018 |
| Work Description | REPLACE EXISTING (PCCP) WITH (RSCP). |
| Location Description | IN/NEAR REDLANDS FROM 0.2 MILE W/O FORD STREET TO 0.4 MILE E/O LIVEOAK CANYON ROAD. |
| QA Service Level | 1 (Verified on 10/19/2015) |
Sample Information
| Sample Taken Date | 10/15/2016 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/15/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RMA | Last name of sampler or witnessed by | RMA |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 945-11-4 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 11-4 |
| 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 | CTS-30-RAM |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2016-10-15-4-1 ASTM C39-17a (Verified)