Sample Record for 2015-03-18-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91-15.6/21.6
Work Description: CONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
Contractor Name: SEMA CONSTRUCTION INC
Contractor Address: 320 Goddard, Suite 150, , Irvine, CA 92618
Resident Engineer: Joseph Lopez Structure Rep.: Al-Hakem Alina
Sample Information
DIME Sample ID: 2015-03-18-1
TL Number from the TL Form: 015317
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/18/2015
Date that the sample was received by the laboratory/organization performing the testing: 03/19/2015
The quantity of what the sample constitutes: 4
A brief description of the sample: cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 825-17
Structure unique identifier: Unknown
Structure name: Unknown
The fabricator/manufacturer/facility name: robertsons
Material Information
The concrete mix design number: sm446b39
The truck number from where the sample was collected: 1
The batch plant ticket number from where the sample was collected: 9928180
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: box culvert at ds
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 |
| 2015-03-18-1-1 | CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/20/2015 | 03/19/2015 | Friday Ofoegbu | CT D08 - Fontana Southern Regional Laboratory | 1 day | |
| 2015-03-18-1-2 | CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/20/2015 | 03/20/2015 | Friday Ofoegbu | CT D08 - Fontana Southern Regional Laboratory | 2day | |
| 2015-03-18-1-3 | CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete Cylinders | 03/20/2015 | 03/25/2015 | Friday Ofoegbu | CT D08 - Fontana Southern Regional Laboratory | 7day | |
144914501451
