Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-05-19-2

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 Date05/19/2015 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 testing05/20/2015
Sample typeQuality Control 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 byOSCAR Last name of sampler or witnessed byRODRIGUEZ
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification854-19 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number60519
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier10 AND 605 INTERCHANGE
Structure nameFRAME 3 DECK SPANS 10 AND 11

Material Information

Material TypeConcrete The concrete mix design numberS75133
The truck number from where the sample was collected405 The batch plant ticket number from where the sample was collected201498
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK 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
2015-05-19-2-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory05/29/2015Matthew Clayton
Yes
05/29/2015
2015-05-19-2-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/16/2015Matthew Clayton
Yes
06/30/2015
2015-05-19-2-3CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/30/2015Matthew Clayton
Yes
06/30/2015