Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-05-03-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award DateNot set
Closeout DateNot set
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date05/03/2021 Sample Unique Key24
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 testing05/04/2021
Sample typeQuality Assurance A brief description of the samplePCC Rapid set beams
The quantity of what the sample constitutes3 beams From where was the sample collectedJob Site
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification28RA, 28RB, 28RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman 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 number1906-33
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTT1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedOn Job Site at Concrete Truck 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
2021-05-03-24-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, K. PatelCT D08 - Fontana Field Testing Laboratory05/13/2021Rhea Osorio
Yes
05/17/2021
2021-05-03-24-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, K. PatelCT D08 - Fontana Field Testing Laboratory05/13/2021Rhea Osorio
Yes
05/17/2021
2021-05-03-24-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, K. PatelCT D08 - Fontana Field Testing Laboratory05/13/2021Rhea Osorio
Yes
05/17/2021