Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-07-12-40

Project Information

Project IdentifiersProject ID: 215188
DEA: 080F5434
EFIS: 0817000239
Permit Numbers: 0823NMC0369
DIST-CO-RTE-PM08-RIV-I-15,SR-91-6.1-7.6
Award Date03/11/2020
Closeout DateNot set
Work DescriptionI-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location DescriptionJunction of I-15 and SR-91 in Corona, CA
QA Service Level1 (Verified on 09/16/2020)

Sample Information

Sample Taken Date07/12/2023 Sample Unique Key40
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 testing07/13/2023
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byK Last name of sampler or witnessed byPatel
Title of samplerTET Telephone number of sampler
Laboratory sample identification1026-12A Linked DIME Sample ID2023-7-12-40
The fabricator/manufacturer/facility nameCEMEX 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 number1610838
The truck number from where the sample was collected10076272 The batch plant ticket number from where the sample was collected30829618
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected15SB Exp Lane and Shoulder SR-median,91E-15N 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
2023-07-12-40-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory08/09/2023Matthew Clayton
Yes
08/15/2023
2023-07-12-40-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory08/23/2023Matthew Clayton
Yes
08/30/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-07-12-40-1 ASTM C39-10 (Verified)
DIME Test ID: 2023-07-12-40-2 ASTM C39-10 (Verified)