Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2020-04-14-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213551
DEA: 080K2934
EFIS: 0812000100
DIST-CO-RTE-PM08-SBD-10-R36.8/R39.2
Award Date11/09/2018
Closeout Date09/15/2021
Work DescriptionPAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date04/14/2020 Sample Unique Key17
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 testing04/15/2020
Sample typeAcceptance 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 byCoffman Specialties Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification13RA, 13RB, 13RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman Specialties, 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 number1810-17
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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-14-17-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. ALZUBI, MD. SARDERCT D08 - Fontana Field Testing Laboratory04/21/2020Seyed Mirgati
Yes
04/22/2020
2020-04-14-17-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. ALZUBI, MD. SARDERCT D08 - Fontana Field Testing Laboratory04/21/2020Seyed Mirgati
Yes
04/22/2020
2020-04-14-17-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. ALZUBI, MD. SARDERCT D08 - Fontana Field Testing Laboratory04/21/2020Seyed Mirgati
Yes
04/22/2020