Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-03-07-3

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 Date03/07/2020 Sample Unique Key3
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 testing03/09/2020
Sample typeQuality Assurance A brief description of the sample6x12 RSLCB 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 Tech Telephone number of sampler
Laboratory sample identification999-307C Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number999-307C
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberNA
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantNA The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedJob Site Where the material sample would have been placed if not sampledEB RTE 60 LANE 3 AND 4 37492 TO 38683
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-07-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory03/14/2020Matthew Clayton
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-03-07-3-1 ASTM C39-17a