Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-08-07-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214665
DEA: 081G5504
EFIS: 0816000035
DIST-CO-RTE-PM08-SBD-40-R28.9
Award Date03/09/2021
Closeout Date01/18/2022
Work DescriptionREPLACE WEIGH-IN-MOTION SYSTEM WITH HIGH SPEED WEIGH-IN-MOTION SYSTEM.
Location DescriptionSAN BERNARDINO COUNTY NEAR NEWBERRY SPRINGS AT 3.6 MILES WEST OF HECTOR ROAD UNDERCROSSING
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date08/07/2021 Sample Unique Key4
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 testing08/13/2021
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes2 Cylinders From where was the sample collectedOther
First name of sampler or witnessed byLarry Last name of sampler or witnessed byFrancisco
Title of samplerTE Telephone number of sampler
Laboratory sample identification1034-87 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShort Load Concrete Inc Transportation Laboratory (TL) Number1034-87
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCTS-65-EHI
The truck number from where the sample was collectedNot Provided The batch plant ticket number from where the sample was collectedNot Provided
Concrete batch plantNot Provided The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNot Provided Where the material sample would have been placed if not sampledNot Provided
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-07-4-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory08/14/2021Matthew Clayton
Yes
08/17/2021Tested at 8:30PM.

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-08-07-4-1 ASTM C39-18 (Verified)