Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-08-24-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout Date01/18/2022
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Sample Information

Sample Taken Date08/24/2017 Sample Unique Key6
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 testing08/28/2017
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 byMd Last name of sampler or witnessed byRahman
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification934-301 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) Number112301
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierVICTORVILLE SEPERATION BRIDGE WIDEN AND NEW
Structure nameVICTORVILLE SEPERATION BRIDGE WIDEN AND NEW

Material Information

Material TypeConcrete The concrete mix design numberSC675B38
The truck number from where the sample was collectedNP 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 collectedCHUTE Where the material sample would have been placed if not sampledVICTORVILLE SEPERATION BRIDGE BENT 6 RIGHT PIER WALL
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-08-24-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory09/21/2017Matthew Clayton
Yes
09/21/2017