Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-10-15-17

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/15/2020 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing10/15/2020 Sample typeAggregate Prequalification Program
A brief description of the sample1.0" PCC Aggregates The quantity of what the sample constitutes13 Bags
From where was the sample collectedSource First name of sampler or witnessed byRamy
Last name of sampler or witnessed byMekail Title of samplerTET
Telephone number of sampler Laboratory sample identification2293
Linked DIME Sample ID The fabricator/manufacturer/facility nameRobertsons - Cabazon
Transportation Laboratory (TL) NumberC030797 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0008::CABAZON QUARRY
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedPlant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments