Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-12-11-1

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date12/11/2022 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 testing12/12/2022
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byLarry Last name of sampler or witnessed byFransico
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification1015-1211 Linked DIME Sample ID2022-12-11-1
The fabricator/manufacturer/facility nameLane Security Joint Venture Transportation Laboratory (TL) Number1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1610836
The truck number from where the sample was collected10064186 The batch plant ticket number from where the sample was collected42295225
Concrete batch plantCemex The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedEuclid Ave Deck Stage 2A Sta 211.00 to 213.31 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-12-11-1-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory01/08/2023Jose Guzman
Yes
01/23/2023
2022-12-11-1-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory01/22/2023Jose Guzman
Yes
01/25/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-12-11-1-1 ASTM C39-10 (Verified)
DIME Test ID: 2022-12-11-1-2 ASTM C39-10 (Verified)