Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-11-21-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213746
DEA: 080Q75U4
EFIS: 0817000114
DIST-CO-RTE-PM08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
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 Date11/21/2020 Sample Unique Key6
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 testing11/24/2020
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutesCONCRETE CYLINDERS From where was the sample collectedJob Site
First name of sampler or witnessed byGEORGE Last name of sampler or witnessed byZACARIAS
Title of samplerRMA Telephone number of sampler
Laboratory sample identification999-1121B Linked DIME Sample ID
The fabricator/manufacturer/facility nameShort Load Concrete Inc Transportation Laboratory (TL) Number999-1121B
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 collected7 The batch plant ticket number from where the sample was collected7
Concrete batch plantVOLUMETRIC TRUCK The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSITE Where the material sample would have been placed if not sampledEB RTE 60 M TO 15 CONNECTOR SHOULDER AFTER MILLIKEN BRIDGE
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-21-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJOSE GUZMANCT - Southern Regional Laboratory11/28/2020Matthew Clayton
Yes
12/28/2020