Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-04-02-7

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date04/02/2021 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 testing04/05/2021
Sample typeQuality Control A brief description of the sample6x12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byMicheal Last name of sampler or witnessed byHobbs
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1015-5 Linked DIME Sample ID2021-04-02-7
The fabricator/manufacturer/facility namecemex Transportation Laboratory (TL) Number1-Req 5
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namesilo footing slab

Material Information

Material TypeConcrete The concrete mix design numberG3-20-CTS-220
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collectedVolumetric
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedOn-site trail slab, continued silo footing slab 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
2021-04-02-7-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory04/12/2021Matthew Clayton