Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-12-21-6
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Project Information
| Project Identifiers | Project ID: 211068 DEA: 080N5504 EFIS: 0800020102 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R105.2/R106.5 |
| Award Date | 04/21/2016 |
| Closeout Date | 08/09/2018 |
| Work Description | REPLACE THE LEFT WATSON WASH BRIDGE N0. 0805L |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/10/2016) |
Sample Information
| Sample Taken Date | 12/21/2016 | 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 | 12/27/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 6 Concrete Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Bersbach |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 947-1221 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 1221 |
| 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 | 1592266 |
|---|---|---|---|
| The truck number from where the sample was collected | 35790 | The batch plant ticket number from where the sample was collected | 4394413 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Load 4 | Where the material sample would have been placed if not sampled | ABUTMENT 1 PIER 7 CAP |
| 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: 2016-12-21-6-2 ASTM C39-17a (Verified)
DIME Test ID: 2016-12-21-6-3 ASTM C39-17a (Verified)