Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-04-20-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208682
DEA: 083401U4
EFIS: 0800000609
DIST-CO-RTE-PM08-SBD-138,138-6.2/6.4,2.3/R15.2
Award Date09/10/2014
Closeout Date06/23/2021
Work DescriptionWIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location DescriptionSAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138
QA Service Level1 (Verified on 03/11/2013)

Sample Information

Sample Taken Date04/20/2017 Sample Unique Key10
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 testing04/24/2017
Sample typeQuality Control 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 byED Last name of sampler or witnessed byMU
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification908-420 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHI GRADE Transportation Laboratory (TL) Number042017
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifiersheep creek bridge
Structure nameSTEM AND SOFFIT PHASE 2

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collected193 The batch plant ticket number from where the sample was collected744657
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE 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
2017-04-20-10-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory05/18/2017Jose Guzman
Yes
05/18/2017