Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-01-21-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208682
DEA: 083401U4
EFIS: 0800000609
DIST-CO-RTE-PM08-SBD-138,138-6.2/6.4,2.3/R15.2
Award Date09/10/2014
Closeout Date06/23/2021
Work DescriptionWIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location DescriptionSAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138
QA Service Level1 (Verified on 03/11/2013)

Sample Information

Sample Taken Date01/21/2016 Sample Unique Key6
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 testing01/25/2016
Sample typeAcceptance 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 byM Last name of sampler or witnessed byRAHMAN
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namejob site Transportation Laboratory (TL) Number06
Inspector Lot Number from the Transportation Laboratory (TL) Form06 Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collected1 The batch plant ticket number from where the sample was collected2
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedPier wall Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-01-21-6-1CTM 521-November 2014: Method of Test for Compressive Strength of Molded Concrete CylindersMatthew Clayton, CT D08 - Fontana Southern Regional Laboratory02/18/2016Matthew Clayton
Yes
02/18/2016

Sample File Attachments

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Test File Attachments


DIME Test ID: 2016-01-21-6-1 CTM 521-November 2014 (Verified)