Summary for Test 2021-08-04-1-5Test performed: ASTM C39-18
|Project ID: 215359
|REMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK.
|SAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH.
|QA Service Level
|1 (Verified on 03/30/2021)
|Sample Taken Date
|Sample Unique Key
|Will the laboratory/organization for which you are a member perform testing on this material sample?
|Date that the sample was received by the laboratory/organization performing the testing
|A brief description of the sample
|The quantity of what the sample constitutes
|From where was the sample collected
|First name of sampler or witnessed by
|Last name of sampler or witnessed by
|Title of sampler
|Telephone number of sampler
|Laboratory sample identification
|Linked DIME Sample ID
|The fabricator/manufacturer/facility name
|Transportation Laboratory (TL) Number
|Inspector Lot Number from the Transportation Laboratory (TL) Form
|Structure unique identifier
|The concrete mix design number
|The truck number from where the sample was collected
|The batch plant ticket number from where the sample was collected
|Concrete batch plant
|The fabricator/manufacturer designation for the sample
|A detailed description of where the material sample was collected
|Where the material sample would have been placed if not sampled
|Roy Rogers Drive OC
|From Lot No.
|Bag Lot No.
Test was verified on 9/1/2021 ✔