Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-04-16-6

Project Information

Project IdentifiersProject ID: 7409
DEA: 07245403
EFIS: 0700000431
DIST-CO-RTE-PM07-LA-10-31.1/32.3
Award Date02/29/2012
Closeout Date10/27/2016
Work DescriptionConstruct Connector between I-10 and I-605 (Design Build Project) LA-10-31.1/32.3, LA-605-R20.2/20.6
Location Description10 & 605 IC
QA Service Level1 (Verified on 03/14/2013)

Sample Information

Sample Taken Date04/16/2015 Sample Unique Key6
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 testing04/20/2015
Sample typeQuality Control A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byOscar Last name of sampler or witnessed byRodriguez
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namesite Transportation Laboratory (TL) Number60515
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numbers75099
The truck number from where the sample was collected373 The batch plant ticket number from where the sample was collected199313
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedframe 3 soffit and stem Pour1 spans 11 and 10 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
2015-04-16-6-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/14/2015Matthew Clayton
Yes
05/14/2015
2015-04-16-6-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/28/2015Matthew Clayton
Yes
05/28/2015