Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2019-10-19-22

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214157
DEA: 081H3404
EFIS: 0817000016
DIST-CO-RTE-PM08-SBD-210,215-21.1/R26.3,4.1/14.3
Award Date06/19/2019
Closeout Date09/02/2020
Work DescriptionPRECAST SLAB AND CURB RAMP REPLACEMENT AND PLACE RHMA-G.
Location DescriptionSAN BERNARDINO COUNTY ON ROUTE 210 FROM 0.6 MILE EAST OF STATE STREET TO STERLING AVENUE AND ON ROUTE 215 FROM PALM STREET TO ROUTE 10/215 SEPARATION
QA Service Level1 (Verified on 11/04/2019)

Sample Information

Sample Taken Date10/19/2019 Sample Unique Key22
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 testing10/20/2019
Sample typeDepartment Acceptance A brief description of the sampleConcrete beams
The quantity of what the sample constitutes3 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 identification1J-1A, 1J-1B, 1J-1C 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-60-3
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
2019-10-19-22-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, A. Alzubi, CT D08 - Fontana Field Testing Laboratory10/29/2019Milad Warde
Yes
11/20/2019
2019-10-19-22-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, A. Alzubi, CT D08 - Fontana Field Testing Laboratory10/29/2019Milad Warde
Yes
11/20/2019
2019-10-19-22-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, A. Alzubi, CT D08 - Fontana Field Testing Laboratory10/29/2019Milad Warde
Yes
11/20/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-10-19-22-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-10-19-22-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2019-10-19-22-3 CTM 524-March 2013 (Verified)