Sample Record for 2025-09-29-25
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000501 DEA: 081J6104 EFIS: 0818000102
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-40.5/42.7
Work Description: INDIVIDUAL SLAB REPLACEMENT (RSC), RHMA, AND REPLACE BASE.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM 0.8 MILE SOUTH OF ROUTE 60/91 SEPARATION TO 0.4 MILE SOUTH OF MARTIN LUTHER KING BOULEVARD UNDERCROSSING
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Rd., Livermore, CA
Resident Engineer: Mahfual Alam Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-09-29-25
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 09/29/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2025
The quantity of what the sample constitutes: 3
A brief description of the sample: 6X12
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: VULCAN
Material Information
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: 1
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: 215 NB STA 60+85 HOV LANE
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Test 1 of 1
DIME Test ID: 2025-09-29-25-1
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
Data has not been verified.
