Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-03-11-7

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 Date03/11/2021 Sample Unique Key7
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 testing03/18/2021
Sample typeQuality Assurance A brief description of the sampleconcrete 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 samplerSR Telephone number of sampler
Laboratory sample identification1025-002 Linked DIME Sample ID002
The fabricator/manufacturer/facility nameCemex 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 number1610837
The truck number from where the sample was collectedNA 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 collected23 SB GORE area - walls 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
2021-03-11-7-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman Baghai, CT D08 - Fontana Southern Regional Laboratory03/18/2021Bahman Baghai
Yes
04/02/2021
2021-03-11-7-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory04/08/2021Matthew Clayton
Yes
04/20/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-03-11-7-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-03-11-7-2 ASTM C39-17a (Verified)