Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2021-08-16-6

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 Date08/16/2021 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 testing08/17/2021
Sample typeQuality Control A brief description of the samplePCC 6"x12" test cylinder
The quantity of what the sample constitutesOne girder From where was the sample collectedJob Site
First name of sampler or witnessed byRoberto Last name of sampler or witnessed byReyes
Title of samplerQC Technician Telephone number of sampler
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) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC-S98-0F
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1556
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCasting Bed Alpha West 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
2021-08-16-6-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRoberto Reyes PerezCon-Fab California, LLC08/17/2021Roberto Reyes Perez
Yes
08/20/2021
2021-08-16-6-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteRoberto Reyes PerezCon-Fab California, LLC08/16/2021Roberto Reyes Perez
Yes
08/20/2021
2021-08-16-6-3ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteRoberto Reyes PerezCon-Fab California, LLC08/16/2021Roberto Reyes Perez
Yes
08/20/2021
2021-08-16-6-4ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteRoberto Reyes PerezCon-Fab California, LLC08/16/2021Roberto Reyes Perez
Yes
08/20/2021