Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-05-01-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date08/31/2015
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date05/01/2017 Sample Unique Key5
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 testing05/01/2017
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 byP Last name of sampler or witnessed byPIRATHEEPAN
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification946-42 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNOT PROVIDED Transportation Laboratory (TL) Number268042
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierRW 2220 FTG
Structure nameHOV I 10 WIDENING SEGMENT III

Material Information

Material TypeConcrete The concrete mix design numberCM5645
The truck number from where the sample was collected320 The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNOT PROVIDED 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
2017-05-01-5-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory05/08/2017Matthew Clayton
Yes
05/08/2017