Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-12-31

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214032
DEA: 09378604
EFIS: 0918000080
DIST-CO-RTE-PM09-KER-58-R128.9/R135.1
Award Date05/13/2019
Closeout Date12/02/2019
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE HMA.
Location DescriptionKERN COUNTY NEAR BORON FROM 1.3 MILES EAST OF CALIFORNIA CITY BOULEVARD TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/12/2019 Sample Unique Key31
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 testing09/25/2019
Sample typeDepartment Acceptance A brief description of the sampleFine RAP for Mix No. 1468
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byTim Last name of sampler or witnessed byReyes
Title of samplerQC Supervisor Telephone number of sampler
Laboratory sample identification8743 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLittle Rock Transportation Laboratory (TL) NumberC912442
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedSample obtained while paving
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-12-31-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKiet Phan, CT D08 - Fontana Southern Regional Laboratory10/02/2019Nader Rashidi-Ghader
Yes
10/07/2019
2019-09-12-31-4CTM 217-June 2011: Method of Test for Sand EquivalentKiet Phan, CT D08 - Fontana Southern Regional Laboratory10/03/2019Nader Rashidi-Ghader
Yes
10/07/2019

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-09-12-31-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-09-12-31-4 CTM 217-June 2011 (Verified)