Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-11-24-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209453
DEA: 080J8504
EFIS: 0800000324
DIST-CO-RTE-PM08-SBD-138-R24.1
Award Date07/01/2014
Closeout Date07/05/2017
Work DescriptionREPLACE EXISTING BRIDGE.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT HORSETHIEF CREEK BRDIGE
QA Service Level1 (Verified on 04/16/2014)

Sample Information

Sample Taken Date11/24/2015 Sample Unique Key16
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 testing12/07/2015
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 byMD Last name of sampler or witnessed byRAHMAN
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification901-04B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHolliday Rock Transportation Laboratory (TL) Number789104B
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierHORSETHIEF CREEK BR REPLACE
Structure nameSTAGE2 PILE3 AT ABUTMENT 1

Material Information

Material TypeConcrete The concrete mix design number4F50X001
The truck number from where the sample was collected630 The batch plant ticket number from where the sample was collected109001196
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedMIXER 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
2015-11-24-16-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory12/22/2015Matthew Clayton
Yes
12/22/2015