Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-12-05-4
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Project Information
| Project Identifiers | Project ID: 211237 DEA: 080Q7904 EFIS: 0800020481 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R93.1/94.2 |
| Award Date | 06/03/2016 |
| Closeout Date | 05/03/2018 |
| Work Description | REPLACE HOFF WASH BRIDGE (BRIDGE NUMBER 54-0889L/R) |
| Location Description | SAN BERNARDINO COUNTY FROM 0.3 MILE WEST TO 0.4 MILE EAST OF HOFF WASH BRIDGE |
| QA Service Level | 1 (Verified on 07/01/2016) |
Sample Information
| Sample Taken Date | 12/05/2016 | 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 | 12/12/2016 |
| Sample type | Quality Assurance | 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 | SUNNY | Last name of sampler or witnessed by | YANG |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 953-05 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CEMEX | Transportation Laboratory (TL) Number | 07 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | HOFF WASH BR |
| Structure name | HOFF WASH BR LEFT |
Material Information
| Material Type | Concrete | The concrete mix design number | 1592266 |
|---|---|---|---|
| The truck number from where the sample was collected | 5790 | The batch plant ticket number from where the sample was collected | 44461813 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | LOAD 8 | Where the material sample would have been placed if not sampled | ABUTMENT 3 AND WINGS WALL |
| 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: 2016-12-05-4-1 ASTM C39-17a (Verified)