Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-05-06-2

Project Information

Project IdentifiersProject ID: 209681
DEA: 080J9304
EFIS: 0800020192
DIST-CO-RTE-PM08-SBD-15-147.6
Award Date08/25/2014
Closeout Date07/22/2015
Work DescriptionBRIDGE REHABILITATION
Location DescriptionSAN BERNARDINO COUNTY NEAR BAKER AT HALLORAN WASH BRIDGE.
QA Service Level1 (Verified on 10/08/2014)

Sample Information

Sample Taken Date05/06/2015 Sample Unique Key2
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 testing05/08/2015
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byAHMAD Last name of sampler or witnessed byANKIR
Title of samplerSTRUCTURE REP Telephone number of samplerUnknown
Laboratory sample identification904-17 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number081417
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierHALLORAN WASH BRIDGE
Structure nameBENT 3 FOOTINGS RT

Material Information

Material TypeConcrete The concrete mix design numberSC590B38
The truck number from where the sample was collectedNOT PROVIDED The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE 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
2015-05-06-2-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/16/2015Matthew Clayton
Yes
05/20/2015
2015-05-06-2-3CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/20/2015Matthew Clayton
Yes
05/20/2015
2015-05-06-2-4CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/13/2015Matthew Clayton
Yes
05/13/2015