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Sample Record for 2019-09-07-6

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

Project Information

Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Location Description:
Contractor Name: J McLoughlin Engineering
Contractor Address: 10641 Fulton Court, Rancho Cucamonga, CA 91730
Resident Engineer: Mujahid Qureshi Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2019-09-07-6
TL Number from the TL Form: 907D
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: 09/07/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2019
The quantity of what the sample constitutes: 6
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 999-907D
Structure unique identifier:
Structure name: EB RTE 60 Lane 2 WEST of Market ST 5250 ft
The fabricator/manufacturer/facility name: Short Load Concrete

Material Information

The concrete mix design number: CMAX 30 RAM
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: na
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: JMECI
A detailed description of where the material sample was collected: SET 4
Where the material sample would have been placed if not sampled: EB RTE 60 Lane 2 WESTof Market ST 5250 ft
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
2019-09-07-6-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens09/13/201909/14/2019Minh PhamCT D08 - Fontana Southern Regional Laboratory