Sample Record for 2019-06-25-9
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: 2019-06-25-9
TL Number from the TL Form: 01-6252019
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: 06/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/27/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 976-6259
Structure unique identifier:
Structure name: 130cy
The fabricator/manufacturer/facility name: Kiewitt Plant
Material Information
The concrete mix design number: LB18-0031
The truck number from where the sample was collected: 19901
The batch plant ticket number from where the sample was collected: Unknown
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: KIEWITT
A detailed description of where the material sample was collected: 130 cy
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: Unknown
Bag Lot No.: Unknown
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2019-06-25-9-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 06/28/2019 | 07/02/2019 | Minh Pham | CT D08 - Fontana Southern Regional Laboratory | | |
21569
