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Sample Record for 2018-06-21-17

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 209695 DEA: 08347704 EFIS: 0800000616 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: KIEWIT INFRASTRUCTURE WEST CO.
Contractor Address: 2215 E 1ST STREET, VANCOUVER, WA 98661
Resident Engineer: Shaine Shahidi Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2018-06-21-17
TL Number from the TL Form: 20180621
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 06/21/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 976-621
Structure unique identifier: 54 1325L
Structure name: Unknown
The fabricator/manufacturer/facility name: Robertsons

Material Information

The concrete mix design number: SM446B38
The truck number from where the sample was collected: 1217
The batch plant ticket number from where the sample was collected: 3331910
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: site
Where the material sample would have been placed if not sampled: Bent 4 L Column
From Lot No.: Unknown
Bag Lot No.: Unknown

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2018-06-21-17-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens06/28/201807/19/2018Matthew ClaytonCT - Southern Regional Laboratory