Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-08-31-14

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 Date08/31/2018 Sample Unique Key14
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/13/2018
Sample typeQuality Assurance A brief description of the sampleConcrete 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 sampler
Laboratory sample identification934-V4831 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberV4831
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberC590F25A
The truck number from where the sample was collected209 The batch plant ticket number from where the sample was collected843100
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedsite load 9 Where the material sample would have been placed if not sampledPiles cap at pier 3 for Mojave River Bridge New
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-08-31-14-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory09/28/2018Matthew Clayton
Yes
10/08/2018