Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-09-02-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214221
DEA: 081F1424
EFIS: 0815000232
DIST-CO-RTE-PM08-RIV-15-23.9/33.4
Award Date09/05/2019
Closeout Date03/01/2022
Work DescriptionREPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/04/2019)

Sample Information

Sample Taken Date09/02/2020 Sample Unique Key24
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 testing09/02/2020
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes4 CY From where was the sample collectedJob Site
First name of sampler or witnessed byFattah Last name of sampler or witnessed byKazi
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identification1010-94 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number400VC with Fibers
The truck number from where the sample was collected31BC The batch plant ticket number from where the sample was collected1535
Concrete batch plantNA 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 sampledI15 NB at Temescal Wash Sta 147890 N of Nichols
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-02-24-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory09/30/2020Matthew Clayton
Yes
10/02/2020