Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-06-19-7

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 Date06/19/2021 Sample Unique Key7
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 testing06/20/2021
Sample typeQuality Assurance A brief description of the sampleJPCP beams
The quantity of what the sample constitutes4 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byIssac, Ruben Last name of sampler or witnessed byIHarris, Lopez
Title of sampler Telephone number of sampler
Laboratory sample identification85JA1,85JA2,85JB1, 85JB2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman Specialties, Inc 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 number1906-2
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTTI
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
2021-06-19-7-1CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement ConcreteR. Lopez/ K. OluohaCT D08 - Fontana Field Testing Laboratory06/19/2021Rhea Osorio
Yes
06/29/2021
2021-06-19-7-2CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodR. Lopez/ K. OluohaCT D08 - Fontana Field Testing Laboratory06/19/2021Rhea Osorio
Yes
06/29/2021
2021-06-19-7-3CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteR. Lopez/ K. OluohaCT D08 - Fontana Field Testing Laboratory06/19/2021Rhea Osorio
Yes
06/29/2021
2021-06-19-7-4CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteJ. Diaz, M. HaqueCT D08 - Fontana Field Testing Laboratory06/29/2021Rhea Osorio
Yes
06/29/2021
2021-06-19-7-5CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteJ. Diaz, M. HaqueCT D08 - Fontana Field Testing Laboratory06/29/2021Rhea Osorio
Yes
06/29/2021