Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-04-29-22

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
Permit Numbers: 0823NMC0369
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout Date06/05/2024
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date04/29/2022 Sample Unique Key22
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 testing04/30/2022
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byFernando Last name of sampler or witnessed byGarcia
Title of samplerQA Inspector Alta vista Telephone number of sampler
Laboratory sample identification1026-430 Linked DIME Sample ID2022-04-29-22
The fabricator/manufacturer/facility nameMyers - Rados Joint Venture Transportation Laboratory (TL) Number1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1419984
The truck number from where the sample was collectedNA10067810 The batch plant ticket number from where the sample was collected30214070
Concrete batch plantMyers Rados JV The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedEB91 NE15conn Sta 429.20 to 412.50 Where the material sample would have been placed if not sampledEB91 NE15 conn Lane and Gore
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-29-22-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory05/06/2022Matthew Clayton
Yes
05/10/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-29-22-2 ASTM C39-10 (Verified)