Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2017-10-19-12

Project Information

Project IdentifiersProject ID: 211714
DEA: 080R1204
EFIS: 0812000026
DIST-CO-RTE-PM08-SBD-40-0.0/R25.0
Award Date12/21/2016
Closeout Date06/23/2021
Work DescriptionREGRADE MEDIAN CROSS SLOPE
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM JUNCTION 15/40 TO 1.4 MILES EAST OF FORT CADY ROAD OVERCROSSING
QA Service Level1 (Verified on 09/21/2016)

Sample Information

Sample Taken Date10/19/2017 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 testing10/24/2017
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 byKENNEDY Last name of sampler or witnessed byEUBANY
Title of samplerTECH Telephone number of samplerUnknown
Laboratory sample identification957-917 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSON BARSTOW Transportation Laboratory (TL) Number101917
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierDS
Structure nameDS 88

Material Information

Material TypeConcrete The concrete mix design number5264125A
The truck number from where the sample was collectedNOT PROVIDED 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 sampledDS 88
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-10-19-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory10/24/2017Matthew Clayton
Yes
10/25/2017

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-10-19-12-1 ASTM C39-17a (Verified)