Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-07-27-42

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
Permit Numbers: 0823NMC0369
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout DateNot set
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date07/27/2022 Sample Unique Key42
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 testing08/03/2022
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 byChizitere Last name of sampler or witnessed byOzuruigbo
Title of samplerTET Telephone number of sampler
Laboratory sample identification1026-727 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Lytle Creek Transportation Laboratory (TL) Number1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1611795
The truck number from where the sample was collected10071450 The batch plant ticket number from where the sample was collected3036199
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected91EB Main on ramp, A3,shoulder,Sta 368.87 to 370.04 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
2022-07-27-42-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Mendez, CT D08 - Fontana Southern Regional Laboratory08/03/2022Jose Mendez
Yes
08/04/2022
2022-07-27-42-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensCarlos Lievanos, CT D08 - Fontana Southern Regional Laboratory08/10/2022Matthew Clayton
No
Info
2022-07-27-42-3ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory08/24/2022Jose Guzman
Yes
08/24/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-07-27-42-1 ASTM C39-10 (Verified)
DIME Test ID: 2022-07-27-42-2 ASTM C39-10
DIME Test ID: 2022-07-27-42-3 ASTM C39-10 (Verified)