Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-17-21
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Project Information
| Project Identifiers | Project ID: 214032 DEA: 09378604 EFIS: 0918000080 |
|---|---|
| DIST-CO-RTE-PM | 09-KER-58-R128.9/R135.1 |
| Award Date | 05/13/2019 |
| Closeout Date | 12/02/2019 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE HMA. |
| Location Description | KERN COUNTY NEAR BORON FROM 1.3 MILES EAST OF CALIFORNIA CITY BOULEVARD TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 09/17/2019 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 09/25/2019 |
| Sample type | Department Acceptance | A brief description of the sample | Coldfeed Lime Treated 3/4" Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tim | Last name of sampler or witnessed by | Reyes |
| Title of sampler | QC Supervisor | Telephone number of sampler | |
| Laboratory sample identification | 8727 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Little Rock, Granite Construction | Transportation Laboratory (TL) Number | C912442 |
| 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) | 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 | Rte 58 Boron CA |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | 1 |
| Sublot number | 9 | 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: 2019-09-17-21-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-09-17-21-4 CTM 217-June 2011 (Verified)