Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-08-21-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date08/21/2021 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 testing08/22/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byRuben Last name of sampler or witnessed byLopez
Title of samplerQA Tech Telephone number of sampler
Laboratory sample identification1015-821 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Lytle Creek 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 number1610974
The truck number from where the sample was collected64165 The batch plant ticket number from where the sample was collected29813597
Concrete batch plantCemex The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSite Where the material sample would have been placed if not sampledVineyard Ave Off Ramp retaining wall 1296 footing
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-21-6-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman Baghai, CT D08 - Fontana Southern Regional Laboratory09/18/2021Bahman Baghai
Yes
10/07/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-08-21-6-1 ASTM C39-18 (Verified)