Sample Record

Owner Labs

  • CT QASI - Los Angeles Field Laboratory
  • CT - Southern Regional Laboratory

DIME Sample ID 2017-06-14-8

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 Date06/14/2017 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeVerification A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 cylinders From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerCT METS QA INSPECTOR Telephone number of sampler951-258-8382
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOLDCASTLE PRECAST PERRIS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierGirder B2
Structure nameGirder B2

Material Information

Material TypeConcrete The concrete mix design numberUV-273
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected56182
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed A4 Where the material sample would have been placed if not sampledGirder B2
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-06-14-8-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory06/21/2017Jose Guzman
Yes
06/21/2017