Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2018-10-04-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209695
DEA: 08347704
EFIS: 0800000616
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 Date10/04/2018 Sample Unique Key19
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 testing10/09/2018
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 byarash Last name of sampler or witnessed byeskandari
Title of samplerASR Telephone number of sampler9097280533
Laboratory sample identification976-101 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameagon inc ore grande Transportation Laboratory (TL) Number101
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierDS no 12 br no 54 13331
Structure nameDS no 12 br no 54 13331

Material Information

Material TypeConcrete The concrete mix design numbersiti172A
The truck number from where the sample was collected190 The batch plant ticket number from where the sample was collected83536
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleKIEWITT
A detailed description of where the material sample was collectedat 25 cy Where the material sample would have been placed if not sampledDS no 12 br no 54 13331
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-10-04-19-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT D08 - Fontana Southern Regional Laboratory11/01/2018Minh Pham

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2018-10-04-19-1 ASTM C39-10 (Verified)