Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-03-27-19
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Project Information
| Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-37.2/42.4 |
| Award Date | 11/16/2015 |
| Closeout Date | 07/11/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA |
| QA Service Level | 1 (Verified on 03/07/2016) |
Sample Information
| Sample Taken Date | 03/27/2020 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/10/2020 |
| Sample type | Department Acceptance | A brief description of the sample | RECYCLED LEAN BASE AGG FOR LCB |
| The quantity of what the sample constitutes | na | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | ZUBIETA |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 9699 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ATKINSON PORTABLE PLANT POMONA | Transportation Laboratory (TL) Number | 9233383 |
| 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) | 00-00-0000 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | LCB | The fabricator/manufacturer designation for the sample | LB20-0006 AGGREGATE |
| The plant number | Unknown | A detailed description of where the material sample was collected | NA |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | LB20-0006 | 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: 2020-03-27-19-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-03-27-19-2 CTM 217-June 2011 (Verified)