Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-08-05-24

Project Information

Project IdentifiersProject ID: 214663
DEA: 081F7304
EFIS: 0815000034
DIST-CO-RTE-PM08-SBD-215-2.7
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date08/05/2022 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 testing08/09/2022
Sample typeQuality Control A brief description of the sample4x8
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byTycos Last name of sampler or witnessed byDeLaney
Title of samplerKleinfelder ASR Telephone number of sampler
Laboratory sample identification1037-805 Linked DIME Sample ID2022-08-05-24
The fabricator/manufacturer/facility nameRobertsons 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 number1610974
The truck number from where the sample was collected10067274 The batch plant ticket number from where the sample was collected42029593
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAbutment 1and 3 end diaphrams 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
2022-08-05-24-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Mendez, CT D08 - Fontana Southern Regional Laboratory09/02/2022Jose Mendez
Yes
09/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-08-05-24-1 ASTM C39-10 (Verified)