Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-07-27-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213746
DEA: 080Q75U4
EFIS: 0817000114
DIST-CO-RTE-PM08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Award Date04/18/2019
Closeout Date06/28/2022
Work DescriptionREPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location DescriptionNot set
QA Service Level1 (Verified on 06/17/2019)

Sample Information

Sample Taken Date07/27/2019 Sample Unique Key1
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 testing07/30/2019
Sample typeQuality Assurance A brief description of the sampleLCB RS Cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byIvan Last name of sampler or witnessed byLopez
Title of samplerRMA QC Telephone number of sampler
Laboratory sample identification999-727 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJMECI RV Concrete Inc Transportation Laboratory (TL) Number20190727
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCTS-30-RAM
The truck number from where the sample was collected7 The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleBatch
A detailed description of where the material sample was collectedEB 60 lane 2 Valley Way Where the material sample would have been placed if not sampledEB 60 lane 2 Valley Way
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-07-27-1-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory08/03/2019Matthew Clayton
Yes
08/05/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2019-07-27-1-1 CTM 521-June 2012 (Verified)