Sample Record

Owner Lab

  • CT 08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-02-17-14

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award DateNot set
Closeout DateNot set
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date02/17/2022 Sample Unique Key14
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 testing02/18/2022
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 byZachariah Last name of sampler or witnessed byRoush
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1012-5 Linked DIME Sample ID1012-5
The fabricator/manufacturer/facility nameCoffman Specialties, Inc Transportation Laboratory (TL) Number5
Inspector Lot Number from the Transportation Laboratory (TL) Form5 Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1906-7
The truck number from where the sample was collected11 The batch plant ticket number from where the sample was collected9
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedI 10 Sta 192 50 22nd St Off Ramp Load 2 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
2022-02-17-14-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman BaghaiCT 08 - Fontana Southern Regional Laboratory02/24/2022Bahman Baghai
Yes
02/25/2022