Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2017-12-22-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211855
DEA: 081E6504
EFIS: 0814000059
DIST-CO-RTE-PM08-RIV-60-R0.0/7.5
Award Date12/29/2016
Closeout Date06/23/2021
Work DescriptionINSTALL DOUBLE LUMINAIRE LIGHTINGS AND UPGRADE EXISTING LIGHTINGS
Location DescriptionRIVERSIDE COUNTY FROM SAN BERNARDINO COUNTY LINE TO VALLEY WAY UNDERCROSSING
QA Service Level1 (Verified on 04/07/2017)

Sample Information

Sample Taken Date12/22/2017 Sample Unique Key15
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 testing12/27/2017
Sample typeQuality Assurance A brief description of the sampleConcrete 6 x 12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byEdwin Last name of sampler or witnessed byEdles
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification970-917 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCEMEX Transportation Laboratory (TL) Number015 917
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 260 PLUS 36
Structure nameLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 260 PLUS 36

Material Information

Material TypeConcrete The concrete mix design number1518590
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected41299516
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 260 PLUS 36 Where the material sample would have been placed if not sampledLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 260 PLUS 36
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-12-22-15-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/29/2017Matthew Clayton
Yes
12/29/2017
2017-12-22-15-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory01/19/2018Jose Guzman
Yes
01/19/2018