Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-09-18-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout DateNot set
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date09/18/2021 Sample Unique Key3
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 testing09/20/2021
Sample typeQuality Assurance A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes8 From where was the sample collectedJob Site
First name of sampler or witnessed byJames Last name of sampler or witnessed byBurton
Title of samplerMaterial Tester Telephone number of sampler
Laboratory sample identification1026-918 Linked DIME Sample ID
The fabricator/manufacturer/facility namecemex fontana 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 number1614705
The truck number from where the sample was collected10067777 The batch plant ticket number from where the sample was collected29861399
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 sampledI91 WB 2R 3R PIER FOUNDATION LOAD 4
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-18-3-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory09/25/2021Bahman Baghai
Yes
10/07/2021
2021-09-18-3-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory10/02/2021Jose Guzman
Yes
10/02/2021
2021-09-18-3-3ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose GuzmanCT - Southern Regional Laboratory10/09/2021Jose Guzman
Yes
10/09/2021
2021-09-18-3-4ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory10/16/2021Matthew Clayton
Yes
10/15/2021