Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-02-10-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215039
DEA: 081H4004
EFIS: 0817000031
DIST-CO-RTE-PM08-SBD-40-0.4
Award Date08/19/2020
Closeout Date06/30/2021
Work DescriptionMINOR CONCRETE (MINOR STRUCTURE).
Location DescriptionSAN BERNARDINO COUNTY IN BARSTOW AT 0.4 MILE EAST OF ROUTE 15
QA Service Level1 (Verified on 10/21/2020)

Sample Information

Sample Taken Date02/10/2021 Sample Unique Key21
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 testing03/05/2021
Sample typeQuality Assurance A brief description of the sampleCONTRER CYLINDERS
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byLARRY Last name of sampler or witnessed byNA
Title of samplerTE Telephone number of sampler
Laboratory sample identification1024-210 Linked DIME Sample ID
The fabricator/manufacturer/facility nameROBERTSONS 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 numbersc505b38
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 collectedSTA 16 40 NORTH SIDE SECTION 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
2021-02-10-21-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory03/10/2021Bahman Baghai
Yes
04/02/2021