Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-05-29-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213323 DEA: 081G4604 EFIS: 0816000005 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-174.0/175.0 |
| Award Date | 08/31/2018 |
| Closeout Date | 11/12/2019 |
| Work Description | COLD PLANE AND OVERLAY W/OGFC |
| Location Description | SAN BERNARDINO COUNTY FROM 2.5 MILES SOUTH OF BAILEY ROAD OVERCROSSING TO 1.2 MILES SOUTH OF NIPTON ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 05/29/2019 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 05/31/2019 |
| Sample type | Verification | A brief description of the sample | 1/2 HMA-OGFC-SP |
| The quantity of what the sample constitutes | PSE 10 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jerry | Last name of sampler or witnessed by | Sequoia QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0314G-19 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Aggregate Industries Sloan Quarry Nevada | 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) | Aggregate Industries Sloan Quarry |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1/2 HMA-OGFC-SP | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Belt Cut at Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
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. | |||