Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-09-05-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209694
DEA: 080J0704
EFIS: 0800000282
DIST-CO-RTE-PM08-SBD-215-0.6/1.7
Award Date10/17/2017
Closeout Date04/23/2020
Work Description(Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location DescriptionGrade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
QA Service Level1 (Verified on 12/11/2017)

Sample Information

Sample Taken Date09/05/2019 Sample Unique Key28
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 testing09/10/2019
Sample typeQuality Assurance A brief description of the sample6x12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byEDDY Last name of sampler or witnessed bySCOTT
Title of samplerASR Telephone number of sampler
Laboratory sample identification975-59 Linked DIME Sample ID
The fabricator/manufacturer/facility namerobertsons Transportation Laboratory (TL) Number4920959
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namebridge deck phase 2

Material Information

Material TypeConcrete The concrete mix design numberrrm17031
The truck number from where the sample was collected1974 The batch plant ticket number from where the sample was collected4920959
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleMYERS RADOS JV
A detailed description of where the material sample was collected215 cy Where the material sample would have been placed if not sampledbridge deck phase 2
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-05-28-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT - Southern Regional Laboratory09/15/2019Minh Pham
Yes
09/20/2019