Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-10-12-5

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
Location DescriptionNot set
QA Service Level1 (Verified on 06/17/2019)

Sample Information

Sample Taken Date10/12/2019 Sample Unique Key5
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 testing10/14/2019
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byGeorge Last name of sampler or witnessed byZacarias
Title of samplerRMA Telephone number of sampler
Laboratory sample identification999-12B Linked DIME Sample ID
The fabricator/manufacturer/facility nameShort Load Concrete Transportation Laboratory (TL) Number20191012B
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWB RTE 60 LANE 2 AT MARKET ST 1600 FT

Material Information

Material TypeConcrete The concrete mix design numberCMAX 30 RAM
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleJEMCI
A detailed description of where the material sample was collectedSET 2 Where the material sample would have been placed if not sampledWB RTE 60LANE 2 AT MARKET ST 1600 FT
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-12-5-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMC, CT D08 - Fontana Southern Regional Laboratory10/19/2019Minh Pham

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2019-10-12-5-1 ASTM C39-10 (Verified)