Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-11-01-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209217
DEA: 080F5404
EFIS: 0800000136
COOP: 081468
DIST-CO-RTE-PM08-RIV-91,15-0.0/13.04, 35.64/45.14
Award Date09/09/2013
Closeout Date03/15/2018
Work DescriptionSR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
QA Service Level1 (Verified on 08/07/2014)

Sample Information

Sample Taken Date11/01/2016 Sample Unique Key2
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 testing11/03/2016
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 byAnh Last name of sampler or witnessed byNguyen
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification888SRL352 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) NumberSRL352
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure name91 CIP

Material Information

Material TypeConcrete The concrete mix design numberCM5634
The truck number from where the sample was collected252 The batch plant ticket number from where the sample was collected118055290
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledWALL 213 BS
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-11-01-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMatthew ClaytonCT - Southern Regional Laboratory11/29/2016Matthew Clayton
Yes
11/29/2016