Sample Record

Owner Lab

  • CT D08 - Barstow Field Testing Laboratory

DIME Sample ID 2016-09-12-4

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Sample Information

Sample Taken Date09/12/2016 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 testing10/10/2016
Sample typeQuality Assurance A brief description of the sampleset number 70 of the east bound lane 2 at station 1590.60
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed by Larry Last name of sampler or witnessed byFrancisco
Title of samplerTE Civil Telephone number of samplerUnknown
Laboratory sample identificationload 90 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberUnknown
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedUnknown 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
2016-09-12-4-1CTM 523-July 2012: Method of Test for Flexural Strength of Concretelarrry franciscoCT D08 - Barstow Field Testing Laboratory10/10/2016Minh Pham
No
620 Info