Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-16-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993781 DEA: 07322404 EFIS: 0716000055 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-134-R12.6,R12.9 |
| Award Date | 08/03/2022 |
| Closeout Date | Not set |
| Work Description | REMOVE BRIDGE RAILING AND PLACE CONCRETE BARRIER. |
| Location Description | LOS ANGELES COUNTY IN PASADENA AT ARROYO SECO BRIDGE AND AT THE ORANGE GROVE BOULEVARD ON-RAMP OVERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 11/16/2024 | 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 | 11/18/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A-SP R15 NO LAS |
| The quantity of what the sample constitutes | 4 BAGS OF COMB AGG(3/4,1/2,3/8, ROCK DUST) 2 BAGS RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0634A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt Corona | Transportation Laboratory (TL) Number | |
| 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) | 91-33-0005 |
|---|---|---|---|
| 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 | SJR/AAA-CORONA QUARRY | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 105793 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||