Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-04-14-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout DateNot set
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Sample Information

Sample Taken Date04/14/2017 Sample Unique Key4
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 testing04/19/2017
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byM Last name of sampler or witnessed byRAHMAN
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification934-1 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) Number1
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierRW 124
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSC675B38
The truck number from where the sample was collected1693 The batch plant ticket number from where the sample was collected2762946
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK DISCHARGE Where the material sample would have been placed if not sampledRW 124
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-04-14-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory05/12/2017Jose Guzman
Yes
05/12/2017