Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-11-09-25

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214543
DEA: 080K8404
EFIS: 0800020563
DIST-CO-RTE-PM08-SBD-L5726-
Award Date01/09/2020
Closeout Date04/28/2022
Work DescriptionMAINTENANCE STATION BUILDING WORK.
Location DescriptionSAN BERNARDINO AT THE SAN BERNARDINO MAINTENANCE STATION AT 175 WEST CLUSTER STREET
QA Service Level1 (Verified on 02/26/2020)

Sample Information

Sample Taken Date11/09/2020 Sample Unique Key25
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 testing11/23/2020
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes3 CY From where was the sample collectedJob Site
First name of sampler or witnessed byFuad Last name of sampler or witnessed byModiri
Title of samplerASR Telephone number of sampler
Laboratory sample identification1020-119 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons 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 numberSM445B37
The truck number from where the sample was collected1796 The batch plant ticket number from where the sample was collected5844371
Concrete batch plantROBERTSONS The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLINE PUMP Where the material sample would have been placed if not sampledSHOP 8 BUILDING FOOTINGS
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-09-25-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/07/2020Matthew Clayton
Yes
12/28/2020