Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-07-30-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout DateNot set
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date07/30/2021 Sample Unique Key6
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 testing08/02/2021
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 byIssac Last name of sampler or witnessed byHarris
Title of samplerMaterial Tester Telephone number of sampler
Laboratory sample identification1026-730 Linked DIME Sample ID
The fabricator/manufacturer/facility namecemex 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 numberSC590B38
The truck number from where the sample was collected2072 The batch plant ticket number from where the sample was collected6396870
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCenter median @ I 15 and Parking UC 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
2021-07-30-6-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory08/27/2021Bahman Baghai
Yes
08/27/2021