Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-11-30-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211070
DEA: 080Q3004
EFIS: 0800020191
DIST-CO-RTE-PM08-SBD-138-R17.1/R19.2
Award Date04/18/2016
Closeout Date09/28/2020
Work DescriptionREALIGN SECTION OF STATE ROUTE 138
Location DescriptionNear Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138
QA Service Level1 (Verified on 04/27/2016)

Sample Information

Sample Taken Date11/30/2017 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 testing12/05/2017
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylindes
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byEDDY Last name of sampler or witnessed bySCOTT
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification955-30B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Lucerne Valley Transportation Laboratory (TL) Number20171130B
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierOHV UNDERCROSSING
Structure nameOHV UNDERCROSSING

Material Information

Material TypeConcrete The concrete mix design numberSC590B6A
The truck number from where the sample was collected1721 The batch plant ticket number from where the sample was collected2872757
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedCHUTE Where the material sample would have been placed if not sampledOHV UNDERCROSSING
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-11-30-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/28/2017Matthew Clayton
Yes
12/28/2017