Sample Record for 2026-02-13-30
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000785 DEA: 081J3204 EFIS: 0818000017 COOP: NONE
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-17.8
Work Description: BUILDING WORK, WROUGHT IRON FENCE, HOT MIX ASPHALT, & AGGREGATE BASE.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE AT LAKE ELSINORE MAINTENANCE STATION AT 18745 CONARD AVENUE
Contractor Name: NATIONWIDE CONTRACTING SERVICES, INC. DBA NATIONWIDE GENERAL CONSTRUCTION SERVICES
Contractor Address: 7660 liberty drive, Huntington beach, CA, 92647
Resident Engineer: Jason Shbaita Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-02-13-30
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: 02/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/18/2026
The quantity of what the sample constitutes: 2
A brief description of the sample: 4x8
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ROBERTSONS
Material Information
The concrete mix design number: SC59033
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: NP
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: CT MAINTENANCE FACILITY
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2026-02-13-30-1 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 02/18/2026 | 02/20/2026 | Jose Guzman | CT D08 - Fontana Southern Regional Laboratory | | |
| 2026-02-13-30-2 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 02/18/2026 | 02/27/2026 | Jose Guzman | CT D08 - Fontana Southern Regional Laboratory | | |
| 2026-02-13-30-3 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 02/18/2026 | 03/13/2026 | Jose Guzman | CT D08 - Fontana Southern Regional Laboratory | | |
| 2026-02-13-30-4 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 02/18/2026 | 03/27/2026 | Jose Guzman | CT D08 - Fontana Southern Regional Laboratory | | |
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