Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-10-19-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215587
DEA: 081L6804
EFIS: 0820000138
DIST-CO-RTE-PM08-RIV-91,15-7.5/13.4,8.2/23.9
Award DateNot set
Closeout DateNot set
Work DescriptionSLAB REPLACEMENT, PLACE SLURRY SEAL AND REPLACE AC SURFACING.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR CORONA AND MURRIETA ON ROUTE 91 FROM ROUTE 15/91 SEPARATION TO 0.4 MILE EAST OF TYLER STREET AND ON ROUTE 15 FROM 1.5 MILES NORTH OF WINCHESTER ROAD TO NICHOLS ROAD
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date10/19/2021 Sample Unique Key21
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 testing10/20/2021
Sample typeQuality Assurance A brief description of the sampleConcrete 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 identification5RA,5RB,5RC Linked DIME Sample ID
The fabricator/manufacturer/facility nameSHORTLOAD CONCRETE INC 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 numberCTS 65-EHI
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTT
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheel barrow 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
2021-10-19-21-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, M. WardeCT D08 - Fontana Field Testing Laboratory10/22/2021Rhea Osorio
Yes
10/26/2021
2021-10-19-21-2CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, M. WardeCT D08 - Fontana Field Testing Laboratory10/22/2021Rhea Osorio
Yes
10/26/2021
2021-10-19-21-3CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteA. Nguyen, M. WardeCT D08 - Fontana Field Testing Laboratory10/22/2021Rhea Osorio
Yes
10/26/2021