Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2016-05-23-7

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209019
DEA: 071952U4
EFIS: 0700000201
DIST-CO-RTE-PM07-VEN-23,101-3.3/3.8,R0.1/R4.5
Award Date11/21/2013
Closeout Date06/25/2019
Work DescriptionWIDEN FREEWAY AND RAMPS AND RECONSTRUCT MEDIAN.
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS ON ROUTE 101 FROM 0.6 MILE SOUTH OF WESTLAKE BOULEVARD OVERCROSSING TO 0.4 MILE NORTH OF MOORPARK ROAD UNDERCROSSING AND ON ROUTE 23 FROM ROUTE 101 TO 0.1 MILE NORTH OF HILLCREST DRIVE UNDERCROSSING
QA Service Level1 (Verified on 08/13/2013)

Sample Information

Sample Taken Date05/23/2016 Sample Unique Key7
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 testing06/01/2016
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders 6 x 12
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 byMAGHSOUDHI
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification876-52 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNOT PROVIDED Transportation Laboratory (TL) Number193652
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberS72019
The truck number from where the sample was collectedNOT PROVIDED The batch plant ticket number from where the sample was collectedNOT PROVIDED
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleNOT PROVIDED
A detailed description of where the material sample was collectedLOAD 4 Where the material sample would have been placed if not sampledSIGN B MEDIAN PILE
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-05-23-7-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT D08 - Fontana Southern Regional Laboratory06/20/2016Matthew Clayton
Yes
06/20/2016

Sample File Attachments

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Test File Attachments


DIME Test ID: 2016-05-23-7-1 ASTM C39-17a (Verified)