Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-04-06-1

Project Information

Project IdentifiersProject ID: 208869
DEA: 08368504
EFIS: 0800000628
DIST-CO-RTE-PM08-SBD-15-177.3/181.1
Award Date07/25/2013
Closeout DateNot set
Work DescriptionCONSTRUCT COMMERCIAL VEHICLE ENFORCEMENT FACILITY (CVEF)
Location DescriptionSAN BERNARDINO COUNTY FROM 1.2 MILES NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
QA Service Level1 (Verified on 10/08/2013)

Sample Information

Sample Taken Date04/06/2015 Sample Unique Key1
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 testing04/08/2015
Sample typeQuality Control 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 byMahesh Last name of sampler or witnessed byKapoor
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSite Transportation Laboratory (TL) Number20150406
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberP40AF883
The truck number from where the sample was collected1 and 3 The batch plant ticket number from where the sample was collectedsite
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCVEF CIDH Foundation for high mast light and communication foundation Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-04-06-1-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory04/13/2015Matthew Clayton
Yes
04/20/2015
2015-04-06-1-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory04/20/2015Matthew Clayton
Yes
04/20/2015
2015-04-06-1-3CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/04/2015Matthew Clayton
Yes
05/04/2015