Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-05-30-2

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 213746
DEA: 080Q75U4
EFIS: 0817000114
DIST-CO-RTE-PM08-SBD,RIV-60-
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location DescriptionNot set
QA Service Level1 (Verified on 06/17/2019)

Sample Information

Sample Taken Date05/30/2020 Sample Unique Key2
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 testing05/20/2020
Sample typeQuality Assurance A brief description of the sampleRSLCB CYLINDERS
The quantity of what the sample constitutes6 CYLINDERS RSLCB From where was the sample collectedJob Site
First name of sampler or witnessed byADRIAN Last name of sampler or witnessed byLOPEZ
Title of samplerRMA TECH Telephone number of sampler
Laboratory sample identification999-530B Linked DIME Sample ID
The fabricator/manufacturer/facility nameSHORTLOAD CONCRETE Transportation Laboratory (TL) Number999-530B
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCTS 30 RAM
The truck number from where the sample was collected16 The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedSITE Where the material sample would have been placed if not sampledEB RTE 60 WEST OF VAN BUREN OFF RAMP 7100 TO 9000
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-30-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory06/06/2020Jose Guzman
Yes
06/09/2020

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