Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-04-17-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout DateNot set
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Sample Information

Sample Taken Date04/17/2019 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 testing04/18/2019
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 byJulius Last name of sampler or witnessed byEsonwune
Title of samplerTET Telephone number of sampler
Laboratory sample identification934-417 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Adelanto Transportation Laboratory (TL) Number20190417
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierD1 Line Sta 160 94 to sta 165 71
Structure nameD1 Line Sta 160 94 to sta 165 71

Material Information

Material TypeConcrete The concrete mix design number508094
The truck number from where the sample was collected1194 The batch plant ticket number from where the sample was collected4295673
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleAMES CONSTRUCTION
A detailed description of where the material sample was collectedload 10 Where the material sample would have been placed if not sampledD1 Line Sta 160 94 to sta 165 71
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-17-8-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory04/24/2019Minh Pham
Yes
04/27/2019