Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-02-09-30

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 Date11/26/2019
Closeout Date11/01/2023
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 Date02/09/2021 Sample Unique Key30
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 testing02/11/2021
Sample typeQuality Assurance A brief description of the sampleCONCERETE CYLINDERS
The quantity of what the sample constitutes6 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byKennedy Last name of sampler or witnessed byEuBany
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1012- 1RR Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman Specialties, Inc Transportation Laboratory (TL) Number1RR
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1906-17
The truck number from where the sample was collected3 The batch plant ticket number from where the sample was collectedNA
Concrete batch plantCoffman Specialties The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected10 EB at station 30725 Load 3 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-09-30-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory02/16/2021Jose Guzman
Yes
03/04/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-02-09-30-1 ASTM C39-17a (Verified)