Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-05-11-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215212
DEA: 081F1434
EFIS: 0815000233
DIST-CO-RTE-PM08-RIV-15-38.2/51.5
Award Date12/04/2020
Closeout Date03/01/2023
Work DescriptionINDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT.
Location DescriptionRIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION
QA Service Level1 (Verified on 03/30/2021)

Sample Information

Sample Taken Date05/11/2021 Sample Unique Key17
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 testing05/12/2021
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 identification4RA,4RB,4RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameMyers and Sons 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 number800-3RSC
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTT
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-11-17-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, R. Osorio, CT D08 - Fontana Field Testing Laboratory05/14/2021kaushal talati
Yes
05/20/2021
2021-05-11-17-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, R. Osorio, CT D08 - Fontana Field Testing Laboratory05/14/2021kaushal talati
Yes
05/20/2021
2021-05-11-17-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, R. Osorio, CT D08 - Fontana Field Testing Laboratory05/14/2021kaushal talati
Yes
05/20/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-05-11-17-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-05-11-17-2 CTM 524-March 2013 (Verified)
DIME Test ID: 2021-05-11-17-3 CTM 524-March 2013 (Verified)