Sample Record

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

DIME Sample ID 2023-03-06-27

Project Information

Project IdentifiersProject ID: 214341
DEA: 081J2004
EFIS: 0817000237
DIST-CO-RTE-PM08-SBD-15-R21.5/R22.0
Award Date11/16/2021
Closeout Date10/02/2024
Work DescriptionEXTEND DECELARATION LANE
Location DescriptionSAN BERNARDINO COUNTY NEAR HESPERIA FROM 0.1 MILE NORTH OF ROUTE 15/138 SEPARATION TO GISH OVERHEAD
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date03/06/2023 Sample Unique Key27
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 testing03/07/2023
Sample typeQuality Assurance A brief description of the samplepcc beams rsc
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed bylarry Last name of sampler or witnessed byfrancisco
Title of samplerTE Telephone number of sampler
Laboratory sample identification4A Linked DIME Sample ID
The fabricator/manufacturer/facility nameSully Miller Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRRM122121
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLOAD 4 AT 1055AM
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAT THE JOBSITE 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
2023-03-06-27-1ASTM C293-10: Standard Test Method for Flexural Strength of Concrete (Using Simple Beam With Center-Point Loading)francisco Ruvaicaba Jr., CT D08 - Barstow Field Laboratory 103/16/2023Minh Pham
Yes
03/22/2023570PSI@28 DAYS BREAK

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-06-27-1 ASTM C293-10 (Verified)