Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-11-10-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210569 DEA: 083555V4 EFIS: 0814000086 |
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DIST-CO-RTE-PM | 08-SBD-15-42.5/46.0 |
Award Date | 11/05/2015 |
Closeout Date | 01/18/2022 |
Work Description | WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR. |
Location Description | SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
Sample Taken Date | 11/10/2016 | Sample Unique Key | 4 |
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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 | 11/15/2016 |
Sample type | Quality Control | A brief description of the sample | 6X12 |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | DARREN | Last name of sampler or witnessed by | HOPPER |
Title of sampler | ASR | Telephone number of sampler | Unknown |
Laboratory sample identification | 934-09 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | ROBERTSONS MIX | Transportation Laboratory (TL) Number | 180609 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | VICTORVILLE SEP AND OH BR WIDEN AND NEW |
Structure name | FOOTING FOR RIGHT AND NEW BENT 4 |
Material Information
Material Type | Concrete | The concrete mix design number | SC675B38 |
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The truck number from where the sample was collected | 1728 | The batch plant ticket number from where the sample was collected | 1086876 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | PUMP TREMIE | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2016-11-10-4-1 ASTM C39-17a (Verified)