Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-24-24

Project Information

Project IdentifiersProject ID: 994068
DEA: 081C7204
EFIS: 0813000003
DIST-CO-RTE-PM08-SBD-15-R96.1/R124.3
Award Date08/02/2022
Closeout Date02/23/2024
Work DescriptionIMPORTED BORROW, SHOULDER BACKING, AND STRUCTURAL CONCRETE.
Location DescriptionSAN BERNARDINO ABOUT 22 MILES NORTHEAST OF BARSTOW AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF HARVARD ROAD OVERCROSSING TO 0.1 MILE NORTH OF RASOR ROAD OVERCROSSING
QA Service Level1 (Verified on 09/30/2022)

Sample Information

Sample Taken Date05/24/2023 Sample Unique Key24
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 testing05/25/2023
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 byAlvin Last name of sampler or witnessed byAnggito
Title of samplerASR Telephone number of sampler
Laboratory sample identification1047-524 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons 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 numberSC590B38
The truck number from where the sample was collected2127 The batch plant ticket number from where the sample was collected7421328
Concrete batch plantRobertson Ready Mix Barstow The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBox Culvert Construction on the Freeway Median Drainage System 14 to 19 walls roof and parapet 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
2023-05-24-24-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJose Guzman, CT D08 - Fontana Southern Regional Laboratory05/31/2023Matthew Clayton
Yes
06/28/2023
2023-05-24-24-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory07/05/2023Matthew Clayton
Yes
07/05/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-24-24-1 ASTM C39-10 (Verified)
DIME Test ID: 2023-05-24-24-2 ASTM C39-10 (Verified)