Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-12-10-34
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-I-5-45.4/54 |
| Award Date | 07/01/2021 |
| Closeout Date | Not set |
| Work Description | Addition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley |
| Location Description | The I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd. |
| QA Service Level | 2 (Verified on 02/03/2021) |
Sample Information
| Sample Taken Date | 12/10/2024 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 12/12/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" WMA A SP R25 0.50% EVO |
| The quantity of what the sample constitutes | 4 Bags comb agg(3/4,1/2,3/8 state sand), 2 Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cesar | Last name of sampler or witnessed by | Gomez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0674A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan-Sun Valley | 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) | 91-19-0035 |
|---|---|---|---|
| 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 | INGEVITY, VALERO,FISH CYN IRWINDALE, VULCAN VA | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 220200W SVA VLO | 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. | |||