Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-03-17-5

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 Date03/17/2016 Sample Unique Key5
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 testing03/22/2016
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 byJoseph Last name of sampler or witnessed byAtaei
Title of samplerQA Inspector Telephone number of samplerUnknown
Laboratory sample identification878-C28 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCEMEX Victorville Transportation Laboratory (TL) NumberC28
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number1202-8
The truck number from where the sample was collected70 The batch plant ticket number from where the sample was collected33
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedBack of the truck Where the material sample would have been placed if not sampled15 SB SEG 2 LANE 1
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-03-17-5-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory03/22/2016Matthew Clayton
Yes
03/22/2016