Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-01-18-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date01/18/2017 Sample Unique Key18
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 testing02/23/2017
Sample typeQuality Assurance A brief description of the sample3 x 6 Lightwight concrete
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed bySami Last name of sampler or witnessed byDeeb
Title of samplerLead IQA Engineer Telephone number of samplerUnknown
Laboratory sample identification866-L10 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSFI Transportation Laboratory (TL) Number011817RWNLCCL10
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberna
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleMIXED ON SITE
A detailed description of where the material sample was collectedTREMIE PIPE Where the material sample would have been placed if not sampledRW N LCC LIFT CLASS II
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-01-18-18-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory02/15/2017Matthew Clayton
Yes
02/21/2017