Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-04-22-4

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 Date04/22/2019 Sample Unique Key4
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 testing04/26/2019
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 byRAVINDER Last name of sampler or witnessed bySingh
Title of samplerASR Telephone number of sampler
Laboratory sample identification934-422 Linked DIME Sample ID
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) Number20190422
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifiermojave river bridge left widening frame 1 stem
Structure namemojave river bridge left widening frame 1 stem

Material Information

Material TypeConcrete The concrete mix design numberS1T172A
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 sampleames
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledmojave river bridge left widening frame 1 stem
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-22-4-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory05/20/2019Minh Pham
Yes
05/24/2019