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Sample Record for 2026-02-27-10

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: 2026-02-27-10
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: 02/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2026
The quantity of what the sample constitutes: 8
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: np

Material Information

The concrete mix design number: sc590b33
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 on following page(s): 0

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2026-02-27-10-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens03/03/202603/06/2026Jose GuzmanCT D08 - Fontana Southern Regional Laboratory
2026-02-27-10-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens03/03/202603/13/2026Jose GuzmanCT D08 - Fontana Southern Regional Laboratory
2026-02-27-10-3ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens03/03/202603/27/2026Jose GuzmanCT D08 - Fontana Southern Regional Laboratory
2026-02-27-10-4ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens03/03/202604/10/2026Jose GuzmanCT D08 - Fontana Southern Regional Laboratory