Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-11-21

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date09/11/2019 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 testing09/13/2019
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byMichael Last name of sampler or witnessed byEmami
Title of samplerField Technician Telephone number of sampler
Laboratory sample identification866-911B Linked DIME Sample ID
The fabricator/manufacturer/facility namesfi joint venture Transportation Laboratory (TL) Number911B
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nametower 16 segments WC06 and WS06 stitch pour

Material Information

Material TypeConcrete The concrete mix design numbersfi l wsbs5a
The truck number from where the sample was collected596 The batch plant ticket number from where the sample was collected441847
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleSFI
A detailed description of where the material sample was collected70 cy Where the material sample would have been placed if not sampledtower 16 segments WC06 and WS06 stitch pour
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-11-21-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJALCT D08 - Fontana Southern Regional Laboratory10/23/2019Minh Pham
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-09-11-21-1 ASTM C39-10