Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-04-09-8

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 Date04/09/2019 Sample Unique Key8
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 testing04/10/2019
Sample typeQuality Assurance A brief description of the sampleconcrete beams
The quantity of what the sample constitutes4 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byAhmad Last name of sampler or witnessed byALZUBI
Title of sampler Telephone number of sampler
Laboratory sample identification12A1,12A2,12B1, 12B2 Linked DIME Sample ID
The fabricator/manufacturer/facility namesecurity paving Corona 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 numberG3-18-PCC-135
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 collectedDischarge from concrete truck into wheelbarrow. 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-09-8-1CTM 523-July 2012: Method of Test for Flexural Strength of Concretekaushal talati, CT D08 - Fontana Field Testing Laboratory04/19/2019kaushal talati
Yes
04/19/2019
2019-04-09-8-2CTM 523-July 2012: Method of Test for Flexural Strength of Concretekaushal talati, CT D08 - Fontana Field Testing Laboratory04/19/2019kaushal talati
Yes
04/19/2019
2019-04-09-8-3CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Alzubi, A. Nguyen, CT D08 - Fontana Field Testing Laboratory05/07/2019Seyed Mirgati
Yes
05/08/2019
2019-04-09-8-4CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Alzubi, A. Nguyen, CT D08 - Fontana Field Testing Laboratory05/07/2019Seyed Mirgati
Yes
05/08/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-04-09-8-1 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-04-09-8-2 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-04-09-8-3 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-04-09-8-4 CTM 523-July 2012 (Verified)