Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-07-26-15
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212603 DEA: 07304604 EFIS: 0714000073 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-105-R0.5/R18.0 |
| Award Date | 11/09/2017 |
| Closeout Date | 01/28/2021 |
| Work Description | UPGRADE EXISTING TRANSPORTATION MANAGEMENT SYSTEM ELEMENTS. |
| Location Description | LOS ANGELES COUNTY FROM ROUTE 1/105 SEPARATION IN EL SEGUNDO TO HOXIE AVENUE UNDERCROSSING IN NORWALK |
| QA Service Level | 1 (Verified on 06/18/2019) |
Sample Information
| Sample Taken Date | 07/26/2019 | 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 | 08/07/2019 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8" PCC Aggregate |
| The quantity of what the sample constitutes | 7 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Hindman |
| Title of sampler | Quality Control | Telephone number of sampler | 951-493-6500 |
| Laboratory sample identification | 8671 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons - Cabazon | Transportation Laboratory (TL) Number | C-19-000013 |
| 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) | 91-33-0008::CABAZON QUARRY |
|---|---|---|---|
| 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 | Stockpile at plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Unknown | 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: 2019-07-26-15-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-26-15-7 CTM 206-October 2011 (Verified)
DIME Test ID: 2019-07-26-15-8 CTM 211-May 2010 (Verified)
DIME Test ID: 2019-07-26-15-9 CTM 214-August 2010 (Verified)
DIME Test ID: 2019-07-26-15-10 CTM 227-December 2014 (Verified)
