Sample Record

Owner Lab

  • CT D08 - Barstow Field Testing Laboratory

DIME Sample ID 2022-05-31-24

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 Date05/31/2022 Sample Unique Key24
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 testing06/01/2022
Sample typeQuality Assurance A brief description of the samplecast concrete beams
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byreggie Last name of sampler or witnessed byagunwah
Title of samplerC3 Telephone number of sampler
Laboratory sample identificationset 10J B C Linked DIME Sample ID
The fabricator/manufacturer/facility nameLANEsecurity paving 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 numberG3-18-PCC-135
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedAT 8 PM
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAT THE JOBSITE 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
2022-05-31-24-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteJulius ECT D08 - Barstow Field Testing Laboratory06/27/2022Minh Pham
Yes
06/29/2022
2022-05-31-24-2CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteJulius ECT D08 - Barstow Field Testing Laboratory06/27/2022Minh Pham
Yes
06/29/2022