Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-05-05-4

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 Date05/05/2016 Sample Unique Key4
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 testing05/06/2016
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 byMD Last name of sampler or witnessed byRAHMAN
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification908-89 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNOT PROVIDED Transportation Laboratory (TL) Number178289
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberSITI72A
The truck number from where the sample was collected755 The batch plant ticket number from where the sample was collected207288
Concrete batch plantUnknown The fabricator/manufacturer designation for the samplePLANT
A detailed description of where the material sample was collectedTRUCK DISCHARGE Where the material sample would have been placed if not sampledCAJON CREEK BRIDGE
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-05-05-4-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory06/02/2016Matthew Clayton
Yes
06/02/2016