Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-04-23-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213551
DEA: 080K2934
EFIS: 0812000100
DIST-CO-RTE-PM08-SBD-10-R36.8/R39.2
Award Date11/09/2018
Closeout Date09/15/2021
Work DescriptionPAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date04/23/2019 Sample Unique Key5
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/24/2019
Sample typeDepartment Acceptance A brief description of the sampleconcrete beams
The quantity of what the sample constitutes3 beams From where was the sample collectedJob Site
First name of sampler or witnessed byS Last name of sampler or witnessed byBlack
Title of sampler Telephone number of sampler
Laboratory sample identification15RA, 15RB, 15RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameGL THROOP Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number2010-007
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedtt1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedon jobsite at concrete truck Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-23-5-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Alzubi / D. Tran, CT D08 - Fontana Field Testing Laboratory04/26/2019Milad Warde
Yes
04/30/2019
2019-04-23-5-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Alzubi / D. Tran, CT D08 - Fontana Field Testing Laboratory04/26/2019Milad Warde
Yes
04/30/2019
2019-04-23-5-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Alzubi / D. Tran, CT D08 - Fontana Field Testing Laboratory04/26/2019Milad Warde
Yes
04/30/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-23-5-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-04-23-5-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-04-23-5-3 CTM 524-March 2013 (Verified)