Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-06-22-29

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215359
DEA: 081K1904
EFIS: 0818000207
DIST-CO-RTE-PM08-SBD-15-16.1/169.4
Award Date02/05/2021
Closeout Date07/27/2022
Work DescriptionREMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH.
QA Service Level1 (Verified on 03/30/2021)

Sample Information

Sample Taken Date06/22/2021 Sample Unique Key29
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 testing06/23/2021
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed byBonar
Title of samplerASR Telephone number of sampler
Laboratory sample identification1030-622 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Transportation Laboratory (TL) Number1030-622
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number4C45L501
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected84
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSITE Where the material sample would have been placed if not sampledWest Hesperia OH
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-22-29-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT D08 - Fontana Southern Regional Laboratory07/20/2021Bahman Baghai
Yes
07/20/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-06-22-29-1 ASTM C39-18 (Verified)