Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-10-29-8

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 Date10/29/2021 Sample Unique Key8
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 testing11/01/2021
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes8 From where was the sample collectedJob Site
First name of sampler or witnessed byRUBEN Last name of sampler or witnessed byLOPEZ
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1015-1029 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Lytle Creek Transportation Laboratory (TL) Number1015-1029
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1613385
The truck number from where the sample was collected67797 The batch plant ticket number from where the sample was collected29928733
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 sampledEB I10 BENSON AVE UC BRIDGE DECK AND OH
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-29-8-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/08/2021Matthew Clayton
Yes
11/08/2021
2021-10-29-8-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory11/26/2021Bahman Baghai
Yes
11/29/2021
2021-10-29-8-3ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMichael MaganaCT - Southern Regional Laboratory12/10/2021Michael Magana
Yes
12/10/2021
2021-10-29-8-4ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory01/02/2022Bahman Baghai
Yes
01/01/2022