Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-01-04-13

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 Date01/04/2021 Sample Unique Key13
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 testing01/05/2021
Sample typeQuality Assurance A brief description of the sampleJPCP beams
The quantity of what the sample constitutes4 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification11JJA1, 11JJA2, 11JJB1, 11JJB2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman Specialties, Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1906-11
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedtt
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-04-13-1CTM 523-July 2012: Method of Test for Flexural Strength of Concretek. TalatiCT D08 - Fontana Field Testing Laboratory01/14/2021Milad Warde
Yes
01/27/2021
2021-01-04-13-2CTM 523-July 2012: Method of Test for Flexural Strength of Concretek. TalatiCT D08 - Fontana Field Testing Laboratory01/14/2021Milad Warde
Yes
01/27/2021
2021-01-04-13-3CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteJ. DIAZ / M. WARDECT D08 - Fontana Field Testing Laboratory02/01/2021kaushal talati
Yes
02/03/2021
2021-01-04-13-4CTM 523-July 2012: Method of Test for Flexural Strength of Concretekaushal talatiCT D08 - Fontana Field Testing Laboratory02/01/2021kaushal talati
Yes
02/03/2021