Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-09-06-10

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 Date09/06/2018 Sample Unique Key10
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 testing09/13/2018
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 Civil Telephone number of samplerUnknown
Laboratory sample identification934- v4906 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameAgcon Inc Transportation Laboratory (TL) Numberv4906
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 numberSIT172A
The truck number from where the sample was collectedna The batch plant ticket number from where the sample was collected843228
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleames
A detailed description of where the material sample was collectedload number 2 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
2018-09-06-10-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory10/04/2018Minh Pham
Yes
10/12/2018