Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-12-01-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211889
DEA: 08368514
EFIS: 0813000077
DIST-CO-RTE-PM08-SBD-15-81.1/87.5&177.3/181.1
Award Date05/02/2017
Closeout Date12/09/2019
Work DescriptionCONSTRUCT AIF AND DEMOLISH EXISTING AIF IN YERMO
Location DescriptionSAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF YERMO ROAD OVERCROSSING TO 1.0 MILE SOUTH OF MINNEOLA ROAD OVERCROSSING AND FROM 1.2 MILE NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
QA Service Level1 (Verified on 04/07/2017)

Sample Information

Sample Taken Date12/01/2017 Sample Unique Key4
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 testing12/07/2017
Sample typeQuality Assurance A brief description of the sampleConcrete 6 x 12
The quantity of what the sample constitutes6 From where was the sample collectedSource
First name of sampler or witnessed byHakim Last name of sampler or witnessed byAl Fariz
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification968-201 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCEMEX Transportation Laboratory (TL) Number20171201
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number159748
The truck number from where the sample was collected4990 The batch plant ticket number from where the sample was collected27489252
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedtruck Where the material sample would have been placed if not sampledAIF AUTO Auto Canopy Footings
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-01-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory12/08/2017Jose Guzman
Yes
12/15/2017
2017-12-01-4-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory12/15/2017Jose Guzman
Yes
12/15/2017
2017-12-01-4-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/22/2017Matthew Clayton
Yes
12/22/2017