Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-11-16-22

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 Date11/16/2021 Sample Unique Key22
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 testing11/17/2021
Sample typeQuality Assurance A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byRammy Last name of sampler or witnessed byM.
Title of samplerTET Telephone number of sampler
Laboratory sample identification1015-1116 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLSP JV 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 number1613385
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNot Privided
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMonte Vista Ave Abutment 2 approach slab 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
2021-11-16-22-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT - Southern Regional Laboratory12/14/2021Bahman Baghai
Yes
12/17/2021