Sample Record

Owner Labs

  • CT HQ - QASI Los Angeles Field Office
  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-09-29-41

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date09/29/2020 Sample Unique Key41
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/15/2020
Sample typeQuality Assurance A brief description of the sampleMonte Vista Bridge
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byGray
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConfab Shafter 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 numberSCC-S9_8-0F
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck load 3 into wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-09-29-41-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJOSE GUZMANCT D08 - Fontana Southern Regional Laboratory10/27/2020Matthew Clayton
Yes
11/02/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-09-29-41-1 ASTM C39-17a (Verified)