Sample Record

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

DIME Sample ID 2016-10-04-19

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Sample Information

Sample Taken Date10/04/2016 Sample Unique Key19
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 testing11/01/2016
Sample typeQuality Assurance A brief description of the sampleset 102WB Lane 2 station 1527.25
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byKenedy Last name of sampler or witnessed byEuBany
Title of samplerConsultant Tester Telephone number of samplerUnknown
Laboratory sample identificationset 102 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberLB15-0065RM
The truck number from where the sample was collected212 The batch plant ticket number from where the sample was collected212
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfrom mix truck Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-10-04-19-1CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteLarry FranciscoCT D08 - Barstow Field Laboratory 111/01/2016Minh Pham
No
570 Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2016-10-04-19-1 CTM 523-July 2012