Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2017-06-05-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211600
DEA: 081E0104
EFIS: 0813000117
DIST-CO-RTE-PM08-SBD-15-37.8/40.2
Award Date09/20/2016
Closeout Date08/29/2018
Work DescriptionCONSTRUCT CONCRETE BARRIER
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.2 MILE NORTH OF BEAR VALLEY OVERCROSSING TO 0.3 MILE SOUTH OF PALMDALE ROAD OVERCROSSING
QA Service Level1 (Verified on 09/21/2016)

Sample Information

Sample Taken Date06/05/2017 Sample Unique Key12
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 testing06/12/2017
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 byLARRY Last name of sampler or witnessed byF
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification959-517 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) Number060517
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameSTA 545 40

Material Information

Material TypeConcrete The concrete mix design numberNP
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 2 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
2017-06-05-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory06/12/2017Jose Guzman
Yes
06/12/2017

Sample File Attachments

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Test File Attachments


DIME Test ID: 2017-06-05-12-1 ASTM C39-17a (Verified)