Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-07-22-8

Project Information

Project IdentifiersProject ID: 209217
DEA: 080F5404
EFIS: 0800000136
COOP: 081468
DIST-CO-RTE-PM08-RIV-91,15-0.0/13.04, 35.64/45.14
Award Date09/09/2013
Closeout Date03/15/2018
Work DescriptionSR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
QA Service Level1 (Verified on 08/07/2014)

Sample Information

Sample Taken Date07/22/2015 Sample Unique Key8
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 testing07/28/2015
Sample typeQuality Control A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byRUBEN Last name of sampler or witnessed byROCHA
Title of samplerCONSULTANT TECH Telephone number of samplerUnknown
Laboratory sample identification888-SRL69 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJOB Transportation Laboratory (TL) NumberSRL69
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier91 CIP
Structure nameBR 22 STEM AND SOFFIT

Material Information

Material TypeConcrete The concrete mix design numberCM5634
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected118030035
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 5 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
2015-07-22-8-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory08/05/2015Matthew Clayton
Yes
08/12/2015
2015-07-22-8-2CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory08/12/2015Matthew Clayton
Yes
08/12/2015
2015-07-22-8-3CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew ClaytonCT - Southern Regional Laboratory08/19/2015Matthew Clayton
Yes
08/20/2015