Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-05-07-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout DateNot set
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date05/07/2021 Sample Unique Key2
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 testing05/10/2021
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes4 CYLINDER From where was the sample collectedJob Site
First name of sampler or witnessed byANH Last name of sampler or witnessed byNGUYEN
Title of samplerTET Telephone number of sampler
Laboratory sample identification1026-57 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number1026-57
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1610974
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected29625321
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSITE Where the material sample would have been placed if not sampled15 and 91 CONNECTOR
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-07-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory05/14/2021Bahman Baghai
Yes
05/14/2021
2021-05-07-2-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory06/04/2021Bahman Baghai
Yes
06/04/2021