Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-10-29-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date10/29/2016 Sample Unique Key1
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 testing11/01/2016
Sample typeQuality Control A brief description of the sample6X12
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byLISANDRO Last name of sampler or witnessed byGOMEZ
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identification882-95 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHOLLIDAY Transportation Laboratory (TL) Number101088395
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierROUTE 10 WEST COVINA
Structure nameRW 812 He CONCRETE BARRIER SECTION

Material Information

Material TypeConcrete The concrete mix design numberCM5645
The truck number from where the sample was collected631 The batch plant ticket number from where the sample was collected101088381
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTRUCK 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 NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-10-29-1-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/01/2016Matthew Clayton
Yes
11/02/20161 of 2 cylinders received was damaged while curing in the field, not tested.
2016-10-29-1-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/03/2016Matthew Clayton
Yes
11/03/2016
2016-10-29-1-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/26/2016Matthew Clayton
Yes
11/28/2016