Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-08-19-38

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 Date08/19/2022 Sample Unique Key38
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 testing08/21/2022
Sample typeQuality Assurance 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 byRuben Last name of sampler or witnessed byLopez
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1015-819A Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA 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 numberG3-20-STR- 233
The truck number from where the sample was collected0 The batch plant ticket number from where the sample was collected68
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedRW 1093 Footing Pour 2 Load 1 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
2022-08-19-38-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory09/16/2022Matthew Clayton
Yes
09/16/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-08-19-38-1 ASTM C39-10 (Verified)