Sample Record

Owner Lab

  • CT 08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-04-22-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date11/16/2015
Closeout Date07/11/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date04/22/2019 Sample Unique Key3
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 testing04/23/2019
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byDaniel Last name of sampler or witnessed bymeza
Title of samplerASR Telephone number of sampler
Laboratory sample identification946-762 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock Transportation Laboratory (TL) Number14762
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierAUSTIN VAULT FOOTING
Structure nameAUSTIN VAULT FOOTING

Material Information

Material TypeConcrete The concrete mix design number3F40L003
The truck number from where the sample was collected195 The batch plant ticket number from where the sample was collected1042342
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleATKINSON
A detailed description of where the material sample was collected3cy Where the material sample would have been placed if not sampledAUSTIN VAULT FOOTING
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-22-3-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT 08 - Fontana Southern Regional Laboratory05/06/2019Minh Pham
Yes
05/15/2019
2019-04-22-3-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT 08 - Fontana Southern Regional Laboratory05/20/2019Michael Magana
Yes
05/24/2019