Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-12-15-6
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Project Information
| Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
| Award Date | 02/10/2014 |
| Closeout Date | 03/01/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | LOS 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 Level | 1 (Verified on 05/06/2014) |
Sample Information
| Sample Taken Date | 12/15/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 12/16/2019 |
| Sample type | Department Acceptance | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | MD | Last name of sampler or witnessed by | Shahjahan |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 8988 | Linked DIME Sample ID | 2019-12-15-6 |
| The fabricator/manufacturer/facility name | ROBERTSON IRWINDALE | Transportation Laboratory (TL) Number | C914335 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | RRM 16015 | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-15-6-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-15-6-2 CTM 226-July 2010 (Verified)