Sample Record for 2020-01-10-12
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: 2020-01-10-12
TL Number from the TL Form: 011020-1
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: 01/10/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: CONCRETE CYLINDERS
From where was the sample collected: Source
Laboratory sample identification: 976-10201
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CALPORTLAND
Material Information
The concrete mix design number: LB18-003
The truck number from where the sample was collected: NA
The batch plant ticket number from where the sample was collected: 23653
Concrete batch plant: CALPORTLAND
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: PLANT
Where the material sample would have been placed if not sampled: STA 54860 EB
From Lot No.: Unknown
Bag Lot No.: Unknown
Test Results
Test 1 of 1
DIME Test ID: 2020-01-10-12-1
Test Method: ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 9098293029
Data has not been verified.
