Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-01-04-17

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 Date01/04/2018 Sample Unique Key17
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 testing01/08/2018
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 identification970-214 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCEMEX Transportation Laboratory (TL) Number11214
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 269 PLUS 20
Structure nameLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 269 PLUS 20

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 collectednp
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 269 PLUS 20 Where the material sample would have been placed if not sampledLUMINAIRE CIDH PILE FOUNDATION AT THE MEDIAN STA 269 PLUS 20
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-01-04-17-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory01/11/2018Matthew Clayton
Yes
01/11/2018
2018-01-04-17-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory01/18/2018Jose Guzman
Yes
01/19/2018
2018-01-04-17-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory02/01/2018Jose Guzman
Yes
02/01/2018