Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-06-09-5

Project Information

Project IdentifiersProject ID: 209950
DEA: 080N56U4
EFIS: 0813000176
DIST-CO-RTE-PM08-SBD-40-R94.7/R99.7
Award Date01/22/2015
Closeout Date09/17/2018
Work DescriptionBRIDGE REPLACEMENTS.
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE
QA Service Level1 (Verified on 04/29/2015)

Sample Information

Sample Taken Date06/09/2015 Sample Unique Key5
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 testing06/10/2015
Sample typePreliminary A brief description of the sample6X12
The quantity of what the sample constitutes5 From where was the sample collectedJob Site
First name of sampler or witnessed byTOM Last name of sampler or witnessed bySINH
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification907-02 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) Number002
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierTRIAL BATCH SET 2
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberNP
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTUMBLE TRUCK 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
2015-06-09-5-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory07/07/2015Matthew Clayton
Yes
07/07/2015