Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-06-05-1

Project Information

Project IdentifiersProject ID: 5266
DEA: 08448404
EFIS: 0800000712
COOP: 081488A1
DIST-CO-RTE-PM08-RIV-91-15.6/21.6
Award Date02/10/2012
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location DescriptionRIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
QA Service Level1 (Verified on 04/27/2012)

Sample Information

Sample Taken Date06/05/2015 Sample Unique Key1
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 sampleConcrete cylinder
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byEdwin Last name of sampler or witnessed byEdles
Title of samplerTE Telephone number of sampler951-830-6811
Laboratory sample identification825-68 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSite Transportation Laboratory (TL) Number01568
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 collected1065171
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDS 108e Manhole EZ at Vine st Form Where the material sample would have been placed if not sampledDS 108e Manhole EZ at Vine st
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-05-1-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory06/09/2015Matthew Clayton
Yes
06/09/2015
2015-06-05-1-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory07/03/2015Matthew Clayton
Yes
07/03/2015