Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-06-20-21

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 Date06/20/2019 Sample Unique Key21
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 testing06/22/2019
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 byPhilip Last name of sampler or witnessed byMaquiran
Title of samplerTET Telephone number of sampler
Laboratory sample identification976-620A Linked DIME Sample ID
The fabricator/manufacturer/facility nameKiewitt Plant Transportation Laboratory (TL) Number062019A
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameeb mainline sta 681 25

Material Information

Material TypeConcrete The concrete mix design numberLB18-0031
The truck number from where the sample was collectedna The batch plant ticket number from where the sample was collected19296
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleKIEWITT
A detailed description of where the material sample was collected1390 cy Where the material sample would have been placed if not sampledeb mainline sta 681 25
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-06-20-21-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMCCT - Southern Regional Laboratory06/27/2019Minh Pham
Yes
06/28/2019