Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2017-05-10-5

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date11/16/2015
Closeout Date07/11/2022
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 Date05/10/2017 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 testing05/18/2017
Sample typeQuality Control A brief description of the sample6X12
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byNP Last name of sampler or witnessed byNP
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification946-46 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRADY MIX Transportation Laboratory (TL) Number268046
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierHOLT
Structure nameSHEAR WALL

Material Information

Material TypeConcrete The concrete mix design number4F40H008
The truck number from where the sample was collected631 The batch plant ticket number from where the sample was collected101102247
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 1 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-05-10-5-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory06/07/2017Jose Guzman
Yes
06/07/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-05-10-5-2 ASTM C39-17a (Verified)