Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-11-13-9

Project Information

Project IdentifiersProject ID: 213764
DEA: 080F0304
EFIS: 0800020358
DIST-CO-RTE-PM08-SBD-60-R0.7/R3.0
Award DateNot set
Closeout DateNot set
Work DescriptionREMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location DescriptionIN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2019)

Sample Information

Sample Taken Date11/13/2020 Sample Unique Key9
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 testing11/18/2020
Sample typeQuality Assurance A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes35 CY From where was the sample collectedSource
First name of sampler or witnessed byVictor Last name of sampler or witnessed byWami
Title of samplerASR Telephone number of sampler
Laboratory sample identification1003-13 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number13
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1610836
The truck number from where the sample was collectedload 4 The batch plant ticket number from where the sample was collected10067295
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampledmonte vista ave bent cap intermediate and end diaphrams
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-13-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJOSE GUZMANCT - Southern Regional Laboratory11/27/2020Matthew Clayton
Yes
12/28/2020
2020-11-13-9-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/11/2020Matthew Clayton
Yes
12/28/2020
2020-11-13-9-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/25/2020Matthew Clayton
Yes
12/28/2020