Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-12-16-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award DateNot set
Closeout DateNot set
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date12/16/2020 Sample Unique Key5
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 testing12/18/2020
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes6 cyl From where was the sample collectedJob Site
First name of sampler or witnessed byRAMSEY DOUMANI Last name of sampler or witnessed byAND ALEKSEY SOUGLOBOV
Title of samplerTECHNICIANS Telephone number of sampler
Laboratory sample identification1012-12R Linked DIME Sample ID
The fabricator/manufacturer/facility nameCOFFMAN SPECIALITIES INC Transportation Laboratory (TL) Number12R
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1906-23
The truck number from where the sample was collected3 The batch plant ticket number from where the sample was collected69
Concrete batch plant 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 sampledSTA 16210
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-12-16-5-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/23/2020Matthew Clayton
Yes
12/28/2020