Sample Record

Owner Lab

  • Jensen Precast - Fontana

DIME Sample ID 2021-05-05-25

Project Information

Project IdentifiersProject ID: 212056
DEA: 033H7204
EFIS: 0318000054
Award DateNot set
Closeout DateNot set
Work Descriptionremove mudslide -Construct TWLTL/turn pockets, widen shoulders, provide improved access for bicyclists/pedestrians, establish a clear recovery zone of 20 feet, and rehabilitate Class II pavement
Location DescriptionNot set
QA Service Level1 (Verified on 04/26/2018)

Sample Information

Sample Taken Date05/05/2021 Sample Unique Key25
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing05/07/2021
Sample typeQuality Control A brief description of the sample6"x12" Concrete Samples
The quantity of what the sample constitutes4 cylinders From where was the sample collectedManufacturer
First name of sampler or witnessed byRay / Shane Last name of sampler or witnessed byBrock
Title of samplerQC Technician Telephone number of sampler19094294133
Laboratory sample identificationCB1813010007 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJensen Precast Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier03-20000087 04 Butte
Structure nameHwy 70 Cox Lane

Material Information

Material TypeConcrete The concrete mix design number10
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected44195
Concrete batch plantJensen Precast The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconveyor belt Where the material sample would have been placed if not sampledForm
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-05-25-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRay CuevasJensen Precast - Fontana05/05/2021Ray Cuevas