Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-10-05-36

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 Date10/05/2021 Sample Unique Key36
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 testing10/06/2021
Sample typeAcceptance A brief description of the sampleConcrete beams
The quantity of what the sample constitutes4 Beams From where was the sample collectedJob Site
First name of sampler or witnessed byNathan / Zachariah Last name of sampler or witnessed byOgbasellasie/ Roush
Title of sampler Telephone number of sampler
Laboratory sample identification2JA1, 2JA2, 2JB1, 2JB2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex, Fontana 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 number1605762
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
2021-10-05-36-1CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Nguyen, M. HaqueCT D08 - Fontana Field Testing Laboratory10/15/2021Rhea Osorio
Yes
10/18/2021
2021-10-05-36-2CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteA. Nguyen, M. HaqueCT D08 - Fontana Field Testing Laboratory10/15/2021Rhea Osorio
Yes
10/18/2021
2021-10-05-36-3CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement ConcreteN. Ogbasellasie/ Z. RoushCT D08 - Fontana Field Testing Laboratory10/05/2021Rhea Osorio
Yes
10/18/2021
2021-10-05-36-4CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodN. Ogbasellasie/ Z. RoushCT D08 - Fontana Field Testing Laboratory10/05/2021Rhea Osorio
Yes
10/18/2021
2021-10-05-36-5CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteN. Ogbasellasie/ Z. RoushCT D08 - Fontana Field Testing Laboratory10/05/2021Rhea Osorio
Yes
10/18/2021
2021-10-05-36-6CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteM. Warde, C. OzuruigboCT D08 - Fontana Field Testing Laboratory11/02/2021Rhea Osorio
Yes
11/02/2021
2021-10-05-36-7CTM 523-July 2012: Method of Test for Flexural Strength of ConcreteM. Warde, C. OzuruigboCT D08 - Fontana Field Testing Laboratory11/02/2021Rhea Osorio
Yes
11/02/2021