Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-30-38
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994968 DEA: 120M82C4 EFIS: 1219000036 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5 |
| Award Date | 12/13/2022 |
| Closeout Date | 12/01/2025 |
| Work Description | Place RHMA-G and minor concrete and modify electrical system. |
| Location Description | In Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 09/30/2024 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 10/03/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" RHMA G SP 0.75% LAS |
| The quantity of what the sample constitutes | 4 Bags Combined Agg(3/4,1/2,3/8 man sand), 1 bag hi-nat, 1 bag crum | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Blue Diamond | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0511G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0052 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | 4 Bags CMB Agg(3/4,1/2,3/8" MAN SAND),1 bag Hi-Nat,1 Bag Crum | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 300072 IRW | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||