Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-08-15-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215444
DEA: 081H9314
EFIS: 0818000104
DIST-CO-RTE-PM08-SBD,RIV-71-R0.0/R8.5,R0.0/R2.9
Award DateNot set
Closeout DateNot set
Work DescriptionSLAB REPLACEMENT (RSC) AND FURNISHED POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN BERNARDINO AND RIVERSIDE COUNTIES IN AND NEAR CHINO AND CHINO HILLS FROM LOS ANGELES COUNTY LINE TO 0.2 MILE SOUTH OF SANTA ANA RIVER BRIDGE
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date08/15/2021 Sample Unique Key2
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 testing08/16/2021
Sample typeQuality Assurance A brief description of the samplePCC Rapid set beams
The quantity of what the sample constitutes3 beams From where was the sample collectedJob Site
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification14RA,14RB,14RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameMyers and Sons Construction 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 number800-3RSC
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTTI
Concrete batch plant The fabricator/manufacturer designation for the sample
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 sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-15-2-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, M. HaqueCT D08 - Fontana Field Testing Laboratory08/18/2021Rhea Osorio
Yes
08/19/2021
2021-08-15-2-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, M. HaqueCT D08 - Fontana Field Testing Laboratory08/18/2021Rhea Osorio
Yes
08/19/2021
2021-08-15-2-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteM. Warde, M. HaqueCT D08 - Fontana Field Testing Laboratory08/18/2021Rhea Osorio
Yes
08/19/2021