Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-09-30-35

Project Information

Project IdentifiersProject ID: 995059
DEA: 081G6404
EFIS: 0816000046
DIST-CO-RTE-PM08-SBD-395-R4.0/49.0
Award Date10/25/2023
Closeout DateNot set
Work DescriptionREPLACE ASPHALT CONCRETE SURFACING, COLD PLANE AC PVMT AND RHMA.
Location DescriptionSAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 15/395 SEPARATION TO 3.1 MILES NORTH OF ROUTE 58/395 SEPARATION
QA Service Level1 (Verified on 08/15/2023)

Sample Information

Sample Taken Date09/30/2024 Sample Unique Key35
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 testing10/02/2024
Sample typeQuality Assurance A brief description of the sample4x8
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byjoseph Last name of sampler or witnessed byvalle
Title of sampler Telephone number of sampler
Laboratory sample identification1069-30T Linked DIME Sample ID
The fabricator/manufacturer/facility nameSully Miller Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCT590F25
The truck number from where the sample was collected242 The batch plant ticket number from where the sample was collected2083089
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedJOB Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-09-30-35-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory10/28/2024Matthew Clayton
Yes
12/11/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-09-30-35-1 ASTM C39-21 (Verified)