Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-10-26-5
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Project Information
| Project Identifiers | Project ID: 210696 DEA: 080M2804 EFIS: 0800000472 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-171.8/173.8 |
| Award Date | 11/04/2015 |
| Closeout Date | 08/21/2018 |
| Work Description | BRIDGE REPLACEMENT AND WIDEN, CONC AND HMA PVMT, COLD PLANE AC PVMT. |
| Location Description | In SBD County |
| QA Service Level | 1 (Verified on 10/19/2015) |
Sample Information
| Sample Taken Date | 10/26/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 10/31/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | del Rio |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 942-08 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | On site | Transportation Laboratory (TL) Number | 942-08 |
| 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 | P40AF023SP |
|---|---|---|---|
| The truck number from where the sample was collected | 8049 | The batch plant ticket number from where the sample was collected | AtJobsite |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Concrete from 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: 2016-10-26-5-1 ASTM C39-10 (Verified)
DIME Test ID: 2016-10-26-5-2 ASTM C39-10 (Verified)
DIME Test ID: 2016-10-26-5-3 ASTM C39-10 (Verified)