Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-06-02-6

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 Date06/02/2015 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 testing06/08/2015
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed bySEROP Last name of sampler or witnessed bySABAKHIM
Title of samplerasp Telephone number of samplerUnknown
Laboratory sample identification904-17 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHalloran Wash Bridge Transportation Laboratory (TL) Number08147A
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSC590B38
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected1
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedUnknown Where the material sample would have been placed if not sampledUnknown
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-02-6-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory06/09/2015Matthew Clayton
Yes
06/09/2015

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-06-02-6-1 CTM 521-November 2014 (Verified)