Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-08-27-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date08/27/2020 Sample Unique Key16
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 testing08/31/2020
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byElias Last name of sampler or witnessed byHamel
Title of samplerTET Telephone number of sampler
Laboratory sample identification1015-827 Linked DIME Sample ID2020-08-27-16
The fabricator/manufacturer/facility nameCemex Lytle Creek Transportation Laboratory (TL) Number2
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1616573
The truck number from where the sample was collected10070483 The batch plant ticket number from where the sample was collected29196505
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck load 1 into wheelbarrow Where the material sample would have been placed if not sampledRW 52 CIDH Pile Foundation
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-27-16-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory09/24/2020Jose Guzman
Yes
09/24/2020
2020-08-27-16-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJOSE GUZMANCT - Southern Regional Laboratory10/08/2020Matthew Clayton
Yes
10/20/2020