Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-05-06-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209695
DEA: 08347704
EFIS: 0800000616
DIST-CO-RTE-PM08-SBD-SR-58-0/12.9
Award Date11/10/2017
Closeout Date01/14/2021
Work Description(Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location DescriptionSR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
QA Service Level1 (Verified on 12/01/2017)

Sample Information

Sample Taken Date05/06/2019 Sample Unique Key10
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 testing05/07/2019
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 byDavid Last name of sampler or witnessed byMedina
Title of samplerASR Telephone number of sampler
Laboratory sample identification976-506 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHi Grade - Oro Grande Transportation Laboratory (TL) Number20190506
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namebarrier Slab at MSE 101 and 103

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collected157 The batch plant ticket number from where the sample was collected849433
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplekeiwiit
A detailed description of where the material sample was collected60 cy Where the material sample would have been placed if not sampledbarrier Slab at MSE 101 and 103
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-05-06-10-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory06/03/2019Minh Pham
Yes
06/06/2019