Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-07-29-25
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214050 DEA: 09369804 EFIS: 0917000029 |
|---|---|
| DIST-CO-RTE-PM | 09-MNO-6-4.2/4.9 |
| Award Date | 05/14/2019 |
| Closeout Date | 12/02/2019 |
| Work Description | ROADWAY EXCAVATION AND PLACE HMA (TYPE A). |
| Location Description | MONO COUNTY AT CHALFANT FROM 0.2 MILE SOUTH OF HUNTER AVENUE TO 0.3 MILE NORTH OF CHALFANT ROAD |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 07/29/2019 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 07/30/2019 |
| Sample type | Per Request | A brief description of the sample | Class 2 Agg Base |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Colton | Last name of sampler or witnessed by | Carrington |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 8658 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Caltrans | Transportation Laboratory (TL) Number | C660990 |
| 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) | Unknown |
|---|---|---|---|
| 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 on site |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 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: 2019-07-29-25-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-29-25-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-07-29-25-7 CTM 229-June 2011 (Verified)
DIME Test ID: 2019-07-29-25-8 CTM 301-March 2000 (Verified)
