Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-02-17-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214523
DEA: 07302504
EFIS: 0713000479
DIST-CO-RTE-PM07-VEN-23-R3.3/R11.5
Award Date02/06/2020
Closeout DateNot set
Work DescriptionPLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT.
Location DescriptionVENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/17/2020)

Sample Information

Sample Taken Date02/17/2021 Sample Unique Key9
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 testing02/24/2021
Sample typeQuality Assurance A brief description of the sampleCONCERETE CYLINDERS
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byRivera Last name of sampler or witnessed byPantaleon
Title of sampler Telephone number of sampler
Laboratory sample identification1025-01 Linked DIME Sample ID
The fabricator/manufacturer/facility namesecurity paving Transportation Laboratory (TL) Number1025-01
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1610837
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 collectedTRUCK MIXER Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-02-17-9-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory02/24/2021Jose Guzman
Yes
03/05/2021
2021-02-17-9-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory03/17/2021Bahman Baghai
Yes
04/02/2021