Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-11-30-6
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Project Information
| Project Identifiers | Project ID: 211392 DEA: 080K8414 EFIS: 0814000073 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-L5726-L5726 |
| Award Date | 06/22/2016 |
| Closeout Date | 10/16/2017 |
| Work Description | CONSTRUCT OFFICE BUILDING |
| Location Description | SAN BERNARDINO COUNTY AT THE CALTRANS MAINTENANCE STATION 175 WEST CLUSTER STREET SAN BERNARDINO, CALIFORNIA 92402 |
| QA Service Level | 1 (Verified on 08/02/2016) |
Sample Information
| Sample Taken Date | 11/30/2016 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 12/02/2016 |
| 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 | AL | Last name of sampler or witnessed by | ALINA |
| Title of sampler | RE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 954-1130 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | ROBERTSONS REDLAND | Transportation Laboratory (TL) Number | 1130 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | OFFICE BUILDING |
Material Information
| Material Type | Concrete | The concrete mix design number | SC590B38 |
|---|---|---|---|
| The truck number from where the sample was collected | NOT PROVIDED | The batch plant ticket number from where the sample was collected | NOT PROVIDED |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | CHUE | Where the material sample would have been placed if not sampled | SLAB FOR OFFICE BUILDING AT CLUSTER MAINTENANCE IN SBD |
| 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: 2016-11-30-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-11-30-6-2 ASTM C39-17a (Verified)
DIME Test ID: 2016-11-30-6-3 ASTM C39-17a (Verified)