Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-08-29-19

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 Date08/29/2019 Sample Unique Key19
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 testing08/30/2019
Sample typeDepartment Acceptance A brief description of the sampleConcrete beams
The quantity of what the sample constitutes4 beams From where was the sample collectedJob Site
First name of sampler or witnessed byRMA Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification25A1, 25A2, 25B1, 25B2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRV Concrete Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRVC-60-1
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedTT1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedOn Job Site at Concrete Truck Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-08-29-19-1CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. ALZUBI, D. TRAN, CT D08 - Fontana Field Testing Laboratory09/10/2019Seyed Mirgati
Yes
10/07/2019
2019-08-29-19-2CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. ALZUBI, D. TRAN, CT D08 - Fontana Field Testing Laboratory09/10/2019Seyed Mirgati
Yes
10/07/2019
2019-08-29-19-3CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. ALZUBI, D. TRAN, CT D08 - Fontana Field Testing Laboratory09/26/2019Seyed Mirgati
Yes
10/07/2019
2019-08-29-19-4CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. ALZUBI, D. TRAN, CT D08 - Fontana Field Testing Laboratory09/26/2019Seyed Mirgati
Yes
10/07/2019

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-08-29-19-1 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-08-29-19-2 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-08-29-19-3 CTM 523-July 2012 (Verified)
DIME Test ID: 2019-08-29-19-4 CTM 523-July 2012 (Verified)