Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-04-20-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212688
DEA: 080Q8904
EFIS: 0800020582
DIST-CO-RTE-PM08-RIV,SBD-10,215,111-Var
Award Date11/17/2017
Closeout Date06/23/2021
Work DescriptionBRIDGE REHABILITATION
Location DescriptionRIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 02/28/2018)

Sample Information

Sample Taken Date04/20/2018 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 testing04/20/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byArnel Last name of sampler or witnessed byVega
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification980-24 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Transportation Laboratory (TL) Number20180424
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameETIWANDA SAN DERAINE FCC

Material Information

Material TypeConcrete The concrete mix design numberYOCSSC3
The truck number from where the sample was collectedNP The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedTRUCK 1 Where the material sample would have been placed if not sampledSUPPORT SLAB
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-20-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensALI R.CT - Southern Regional Laboratory04/27/2018Minh Pham
Yes
05/30/2018
2018-04-20-4-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory05/18/2018Minh Pham
Yes
05/30/2018