Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-27-18

Project Information

Project IdentifiersProject ID: 213763
DEA: 060Q19A4
EFIS: 0613000152
DIST-CO-RTE-PM06-KER-58-R99.0/R100.3
Award Date02/04/2019
Closeout Date10/22/2021
Work DescriptionWIDEN SHOULDERS AND REPLACE BRIDGES
Location DescriptionKERN COUNTY NEAR TEHACHAPI FROM 0.5 MILE WEST TO 0.8 MILE EAST OF SAND CANYON UNDERCROSSING
QA Service Level1 (Verified on 01/09/2019)

Sample Information

Sample Taken Date09/27/2019 Sample Unique Key18
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 testing10/07/2019
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byadial Last name of sampler or witnessed byEvans
Title of samplerASR Telephone number of sampler
Laboratory sample identification994-927 Linked DIME Sample ID
The fabricator/manufacturer/facility namereadymix Transportation Laboratory (TL) Number20190927
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameAbutment 2 five piles within footing footprint

Material Information

Material TypeConcrete The concrete mix design number3H40G004
The truck number from where the sample was collected307 The batch plant ticket number from where the sample was collected112016600
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplegranite
A detailed description of where the material sample was collectedtruck Where the material sample would have been placed if not sampledAbutment 2 five piles within footing footprint
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-27-18-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMM, CT D08 - Fontana Southern Regional Laboratory10/25/2019Minh Pham
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-09-27-18-1 ASTM C39-10