Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-12-11-4

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 Date12/11/2015 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing12/15/2015
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byA Last name of sampler or witnessed bySALAZAR
Title of samplerTE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock Chino Transportation Laboratory (TL) NumberSRL 125
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberCM5634
The truck number from where the sample was collected314 The batch plant ticket number from where the sample was collected118038902
Concrete batch plant The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedBack of the truck Load 1 Where the material sample would have been placed if not sampledBR 11 ABUT 1
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-12-11-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory01/08/2016Matthew Clayton
Yes
01/08/2016