Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-17-24
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214000 DEA: 073W8604 EFIS: 0717000117 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-35.3/46.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 06/05/2020 |
| Work Description | APPLY SLURRY SEAL TO ROADWAY. |
| Location Description | LOS ANGELES COUNTY IN SANTA MONICA AND MALIBU FROM 0.3 MILE SOUTH OF PALISADE PEDESTRIAN OVERCROSSING TO MALIBU LAGOON BRIDGE |
| QA Service Level | 1 (Verified on 07/26/2019) |
Sample Information
| Sample Taken Date | 09/17/2019 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 09/19/2019 |
| Sample type | Per Request | A brief description of the sample | Type 3 Slurry Seal/Micro-surfacing |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 8719 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | United Rock-Irwindale | Transportation Laboratory (TL) Number | C914200 |
| 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 at staging yard |
| 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: 2019-09-17-24-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-09-17-24-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-09-17-24-7 CTM 229-June 2011 (Verified)
DIME Test ID: 2019-09-17-24-8 CTM 205-December 2010 (Verified)
