Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-06-17-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date06/17/2021 Sample Unique Key21
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 testing06/19/2021
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 byKevin Last name of sampler or witnessed byOluoha
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1015-617 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Joint Venture Transportation Laboratory (TL) Number1
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 collected10036887 The batch plant ticket number from where the sample was collected29699418
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedRW1028 footing load 14 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
2021-06-17-21-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory07/15/2021Bahman Baghai
Yes
07/15/2021
2021-06-17-21-2ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMichael MaganaCT - Southern Regional Laboratory07/29/2021Michael Magana
Yes
07/29/2021