Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-11-17-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209511
DEA: 080Q7403
EFIS: 0800020456
DIST-CO-RTE-PM08-SBD-15-15.4/30.8
Award Date10/29/2013
Closeout DateNot set
Work DescriptionDesign Build project provides pavement rehabilitation (including ramps) on I-15 near Cajon Pass, CA.
Location DescriptionOn I-15 from 0.4 mile north of Kenwood Avenue to 0.3 mile south of West Hesperia OH
QA Service Level1 (Verified on 04/03/2014)

Sample Information

Sample Taken Date11/17/2015 Sample Unique Key4
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 testing11/24/2015
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 byJOSEPH Last name of sampler or witnessed byATAEI
Title of samplerIQA FIELD INSPECTOR Telephone number of samplerUnknown
Laboratory sample identification878-17 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCEMEX Transportation Laboratory (TL) Number1117
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierSBD I15PM R 15 4 30 8
Structure nameF SB LANE 2 STA 1476 30

Material Information

Material TypeConcrete The concrete mix design numberRS LCB 1208 3
The truck number from where the sample was collected62 The batch plant ticket number from where the sample was collected6
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 6 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
2015-11-17-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/24/2015Matthew Clayton
Yes
11/24/2015