Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-10-13-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209950
DEA: 080N56U4
EFIS: 0813000176
DIST-CO-RTE-PM08-SBD-40-R94.7/R99.7
Award Date01/22/2015
Closeout Date09/17/2018
Work DescriptionBRIDGE REPLACEMENTS.
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE
QA Service Level1 (Verified on 04/29/2015)

Sample Information

Sample Taken Date10/13/2016 Sample Unique Key12
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 testing10/17/2016
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed byBersbach
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification907-13 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Transportation Laboratory (TL) Number013
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberRRM15025
The truck number from where the sample was collected1195 The batch plant ticket number from where the sample was collected2256317
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedLOAD 2 Where the material sample would have been placed if not sampledCLIPPER VALLEY WASH PIER 6 7 COLUMN
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-10-13-12-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/03/2016Matthew Clayton
Yes
11/03/2016
2016-10-13-12-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/10/2016Matthew Clayton
Yes
11/10/2016