Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-05-10-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213764
DEA: 080F0304
EFIS: 0800020358
DIST-CO-RTE-PM08-SBD-60-R0.7/R3.0
Award DateNot set
Closeout DateNot set
Work DescriptionREMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60
Location DescriptionIN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2019)

Sample Information

Sample Taken Date05/10/2021 Sample Unique Key8
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 testing05/13/2021
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 byVictor Last name of sampler or witnessed byWami
Title of samplerASR Telephone number of sampler
Laboratory sample identification1003-510 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSema Construction 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 numberSC675B38
The truck number from where the sample was collected1648 The batch plant ticket number from where the sample was collected6086593
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMonte Vista Ave OC Column 3 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
2021-05-10-8-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory05/17/2021Bahman Baghai
Yes
05/18/2021
2021-05-10-8-2ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory06/07/2021Jose Guzman
Yes
06/07/2021