Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-12-21-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214465
DEA: 081E5704
EFIS: 0814000051
DIST-CO-RTE-PM08-RIV-10-27.7
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CIDH PILING AND ROCK SLOPE PROTECTION
Location DescriptionRIVERSIDE COUNTY NEAR PALM SPRINGS AT WHITEWATER RIVER BRIDGE
QA Service Level1 (Verified on 02/28/2020)

Sample Information

Sample Taken Date12/21/2020 Sample Unique Key3
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 testing12/22/2020
Sample typeQuality Control A brief description of the sample6x12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed bySaad Last name of sampler or witnessed byArabi
Title of samplerASR Telephone number of sampler
Laboratory sample identification1016-75 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number178675
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number20034
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
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 sampledwite water br 560004
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-12-21-3-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory01/19/2021Jose Guzman
Yes
03/04/2021