Sample Record

Owner Labs

  • CT HQ - QASI Los Angeles Field Laboratory
  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-15-1

Project Information

Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Award Date04/17/2017
Closeout DateNot set
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
QA Service Level1 (Verified on 05/08/2017)

Sample Information

Sample Taken Date09/15/2019 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeInformational A brief description of the sample6x12 concrete cylinders (2 total)
The quantity of what the sample constitutesOne 5 yard load of SCC Mix From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOldcastle Infrastructure Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameSARB 4-7

Material Information

Material TypeConcrete The concrete mix design numberUV-301B2
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected63983
Concrete batch plantOnsite OCP Perris The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedGIrder 4 7 formwork Where the material sample would have been placed if not sampledBed B1 Girder 4 7
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-15-1-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT D08 - Fontana Southern Regional Laboratory10/14/2019Minh Pham
Yes
10/18/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-09-15-1-1 ASTM C39-10 (Verified)