Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-03-10-12

Project Information

Project IdentifiersProject ID: 214819
DEA: 07288304
EFIS: 0700021024
DIST-CO-RTE-PM07-LA-60,60,164,210-Var
Award Date03/01/2021
Closeout Date10/02/2023
Work DescriptionSTORM WATER MITIGATION
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 06/30/2021)

Sample Information

Sample Taken Date03/10/2022 Sample Unique Key12
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 testing03/11/2022
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 byRyan Last name of sampler or witnessed byMilum
Title of samplerG3 Tech Telephone number of sampler
Laboratory sample identification1036-310 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Transportation Laboratory (TL) Number1036-310
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSC270N31
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantROBERTSONS The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedRte 210 E. End of Placement Next to Roadway load 1 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-10-12-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBahman Baghai, CT D08 - Fontana Southern Regional Laboratory03/17/2022Matthew Clayton
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-03-10-12-1 ASTM C39-21