Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-07-14-40

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213746
DEA: 080Q75U4
EFIS: 0817000114
DIST-CO-RTE-PM08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location DescriptionNot set
QA Service Level1 (Verified on 06/17/2019)

Sample Information

Sample Taken Date07/14/2021 Sample Unique Key40
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 testing07/15/2021
Sample typeAcceptance A brief description of the sampleConcrete beams
The quantity of what the sample constitutes2 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byRMA Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification98-3A1,98-3A2, 98-3B1, 98-3B2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRV Concrete 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 numberG3-19-PCC-172
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedTT1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
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 sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-14-40-1CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Nguyen, C. OzuruigboCT D08 - Fontana Field Testing Laboratory08/11/2021Rhea Osorio
Yes
08/12/2021
2021-07-14-40-2CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Nguyen, C. OzuruigboCT D08 - Fontana Field Testing Laboratory08/11/2021Rhea Osorio
Yes
08/12/2021