Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-01-18-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212910
DEA: 080K2914
EFIS: 0812000098
DIST-CO-RTE-PM08-SBD-10-30.9/33.3
Award Date03/06/2018
Closeout Date09/04/2019
Work DescriptionLANE REPLACEMENT
Location DescriptionSAN BERNARDINO COUNTY IN REDLANDS FROM ORANGE STREET UNDERCROSSING TO REDLANDS BLVD OFF-RAMP UNDERCROSSING
QA Service Level1 (Verified on 05/02/2018)

Sample Information

Sample Taken Date01/18/2019 Sample Unique Key16
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 testing01/19/2019
Sample typeAcceptance A brief description of the sampleConcrete beams
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byDenis Last name of sampler or witnessed bySostrom
Title of sampler Telephone number of sampler
Laboratory sample identification18RA, 18RB, 18RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Redlands Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number1555211
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedTT1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedOn Job Site at Concrete Truck Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-01-18-16-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteAhmad AlzubiCT D08 - Fontana Field Testing Laboratory01/29/2019MD Sarder
Yes
02/13/2019
2019-01-18-16-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteAhmad AlzubiCT D08 - Fontana Field Testing Laboratory01/29/2019MD Sarder
Yes
02/13/2019
2019-01-18-16-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteAhmad AlzubiCT D08 - Fontana Field Testing Laboratory01/29/2019MD Sarder
Yes
02/13/2019