Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2013-10-30-11007779
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 7757 DEA: 07252614 EFIS: 0700021271 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-C43.9/C46.4 |
| Award Date | 12/12/2012 |
| Closeout Date | 06/02/2015 |
| Work Description | REPLACE CONCRETE SLABS WITH PRECAST CONCRETE PANELS. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM SAN FERNANDO ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING |
| QA Service Level | 1 (Verified on 11/12/2012) |
Sample Information
| Sample Taken Date | 10/30/2013 | Sample Unique Key | 11007779 |
|---|---|---|---|
| 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 | 10/31/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 3 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Quality Control Manager | Telephone number of sampler | (951) 634-2002 |
| Laboratory sample identification | 3261B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Cemex Lytle Creek | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0040::LYTLE CREEK |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Conveyer Belt |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | 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: 2013-10-30-11007779-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2013-10-30-11007779-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2013-10-30-11007779-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2013-10-30-11007779-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2013-10-30-11007779-5 CTM 229-June 2011 (Verified)