Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-07-25-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout DateNot set
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Sample Information

Sample Taken Date07/25/2018 Sample Unique Key18
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 testing07/31/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byMD Last name of sampler or witnessed byRAHMAN
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification934-0725 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameAgcon Inc Transportation Laboratory (TL) Number934-0725
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierMOJAVE RIVER BRIDGE WIDEN
Structure nameMOJAVE RIVER BRIDGE WIDEN

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected842074
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleAMES CONSTRUCTION
A detailed description of where the material sample was collectedLOAD NO 4 Where the material sample would have been placed if not sampledMOJAVE RIVER BRIDGE WIDEN
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-07-25-18-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory08/22/2018Matthew Clayton
Yes
08/22/2018