Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-01-20-19
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215108 DEA: 07337604 EFIS: 0717000036 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-14-R28.9/R29.2 |
| Award Date | 10/15/2020 |
| Closeout Date | 05/04/2023 |
| Work Description | REPLACE EXISTING STORM DRAIN, AND CONSTRUCT A COLLECTION SYSTEM. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.8 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 01/20/2021 | 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 | 01/20/2021 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Hancock |
| Title of sampler | Regional Quality Manager | Telephone number of sampler | (805) 879-0061 |
| Laboratory sample identification | SRL-3084 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite-Big Rock | Transportation Laboratory (TL) Number | 3084 |
| 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) | 91-19-0046::BIG ROCK CREEK- GRANITE |
|---|---|---|---|
| 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 collected | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2021-01-20-19-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-01-20-19-11 CTM 207-March 2012 (Verified)
DIME Test ID: 2021-01-20-19-12 CTM 213-December 2012 (Verified)
DIME Test ID: 2021-01-20-19-13 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-01-20-19-14 CTM 229-June 2011 (Verified)
