Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-02-12-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Award Date04/17/2017
Closeout DateNot set
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
QA Service Level1 (Verified on 05/08/2017)

Sample Information

Sample Taken Date02/12/2019 Sample Unique Key2
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 testing02/14/2019
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byconsultant Last name of sampler or witnessed bysequoia
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identification974-0212 Linked DIME Sample ID
The fabricator/manufacturer/facility namesecurity paving Transportation Laboratory (TL) Number0212
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierlcb 0212 7 days break
Structure namelcb 0212 7 days break

Material Information

Material TypeConcrete The concrete mix design numberg3-18-LBC-110
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 sampleSECURITY PAVING
A detailed description of where the material sample was collectedna Where the material sample would have been placed if not sampledlcb 0212 7 days break
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-02-12-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike Magana, CT D08 - Fontana Southern Regional Laboratory02/19/2019Mike Magana
Yes
03/01/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-02-12-2-1 ASTM C39-10 (Verified)