Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-07-22-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214951
DEA: 120K0234
EFIS: 1214000100
DIST-CO-RTE-PM12-ORA-5-17.1/18.9
Award Date09/23/2020
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/01/2020)

Sample Information

Sample Taken Date07/22/2021 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 testing07/26/2021
Sample typeQuality Assurance A brief description of the sample(2) 6"x12" Cylinders
The quantity of what the sample constitutes(2) 6"x12" Cylinders From where was the sample collectedFabricator
First name of sampler or witnessed byPaul Last name of sampler or witnessed byShrestha
Title of samplerInspector Telephone number of sampler4242987781
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCon-Fab California, LLC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL108-006-21 Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC S9 8 0F
The truck number from where the sample was collected121 The batch plant ticket number from where the sample was collected1450
Concrete batch plantSPC onsite batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAt pour location Where the material sample would have been placed if not sampledGirder
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-22-17-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory08/19/2021Jose Guzman
Yes
08/19/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-07-22-17-1 ASTM C39-18 (Verified)