Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2018-12-17-6

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 Date12/17/2018 Sample Unique Key6
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 testing12/19/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed bylarry kenedy Last name of sampler or witnessed byFrancisco
Title of samplerMaterial Tester Telephone number of samplerUnknown
Laboratory sample identification976-17182 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameKiwiett Plant Transportation Laboratory (TL) Number121718-2
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierstation 403 91 eb
Structure namestation 403 91 eb

Material Information

Material TypeConcrete The concrete mix design numberlb18-0094
The truck number from where the sample was collectedna The batch plant ticket number from where the sample was collectedna
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplekiwiett
A detailed description of where the material sample was collectedat 958 am Where the material sample would have been placed if not sampledstation 403 91 eb
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-12-17-6-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory12/24/2018Minh Pham
Yes
01/02/2019