Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-10-16-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209695
DEA: 08347704
EFIS: 0800000616
DIST-CO-RTE-PM08-SBD-SR-58-0/12.9
Award Date11/10/2017
Closeout Date01/14/2021
Work Description(Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location DescriptionSR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
QA Service Level1 (Verified on 12/01/2017)

Sample Information

Sample Taken Date10/16/2018 Sample Unique Key12
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 testing10/17/2018
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 byPhillip Last name of sampler or witnessed bymauqurain
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification976-16941 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameKiewitt Plant Transportation Laboratory (TL) Number101618-94-1
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierat 0905 am sta for 7 days break
Structure nameat 0905 am for 7 days break

Material Information

Material TypeConcrete The concrete mix design numberlb18-0094
The truck number from where the sample was collectedat 0905 am The batch plant ticket number from where the sample was collectedna
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleKIEWITT INFRASTUCTURE
A detailed description of where the material sample was collected710 cy Where the material sample would have been placed if not sampledat 0905 am sta for 7 days break
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-10-16-12-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory10/23/2018Minh Pham
Yes
11/02/2018