Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-12-19-10

Project Information

Project IdentifiersProject ID: 212988
DEA: 080R1604
EFIS: 0812000029
DIST-CO-RTE-PM08-SBD-40-R50.0/R75.0
Award Date09/07/2018
Closeout Date10/11/2022
Work DescriptionREGRADE MEDIAN CROSS SLOPES
Location DescriptionNEAR LUDLOW FROM 0.3 MILES EAST OF CRUCERO ROAD TO 0.4 MILE WEST OF BADGER WASH
QA Service Level1 (Verified on 11/14/2018)

Sample Information

Sample Taken Date12/19/2019 Sample Unique Key10
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 testing01/10/2020
Sample typeQuality Assurance A brief description of the sampleConrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed bykennedy Last name of sampler or witnessed byeubany
Title of samplertet Telephone number of sampler
Laboratory sample identification991-19191 Linked DIME Sample ID
The fabricator/manufacturer/facility nameROBERTSONS BARSTOW Transportation Laboratory (TL) Number121919-1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSC675B39
The truck number from where the sample was collected1195 The batch plant ticket number from where the sample was collectedNA
Concrete batch plantROBERTSONS BARSTOW The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedNA Where the material sample would have been placed if not sampledCONCRETE POUR DS395 CCO STATION 35700
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-19-10-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMC, CT D08 - Fontana Southern Regional Laboratory01/16/2020Minh Pham
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-19-10-1 ASTM C39-10