Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-06-13-5
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Project Information
| Project Identifiers | Project ID: 214029 DEA: 07301104 EFIS: 0714000009 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60,710-710-R2.8/11.8, 24.1/25.1 |
| Award Date | 06/03/2019 |
| Closeout Date | 10/17/2023 |
| Work Description | Roadway ex, place jointed plain concrete pavement & concrete barrieres |
| Location Description | In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation. |
| QA Service Level | 1 (Verified on 06/25/2019) |
Sample Information
| Sample Taken Date | 06/13/2020 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 06/16/2020 |
| Sample type | Department Acceptance | A brief description of the sample | 3/8" PCC Aggregate |
| The quantity of what the sample constitutes | 1Bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tuan | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 1266 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Irwindale | Transportation Laboratory (TL) Number | CTNT1 |
| 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) | N/A |
|---|---|---|---|
| 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 | Unknown |
| 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: 2020-06-13-5-3 CTM 202-November 2011
DIME Test ID: 2020-06-13-5-4 CTM 227-December 2014 (Verified)