Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-04-19-32
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215302 DEA: 120M82A4 EFIS: 1219000036 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5, 10.3/10.5 |
| Award Date | Not set |
| Closeout Date | 07/25/2023 |
| Work Description | A NEW PRIME CONTRACTOR HAS BEEN ASSIGNED. THE NEW CONTRACT NUMBER IS 12-0M82C4. |
| Location Description | ORANGE COUNTY IN LAGUNA BEACH FROM LEDROIT STREET TO RUBY STREET |
| QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
| Sample Taken Date | 04/19/2021 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 04/21/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | 1.5" PCC Aggregate |
| The quantity of what the sample constitutes | 10 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Hindman |
| Title of sampler | QC Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertsons - Corona | Transportation Laboratory (TL) Number | 3853 |
| 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) | 91-33-0061 |
|---|---|---|---|
| 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 | 1-1/2 inch | |
| 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: 2021-04-19-32-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-04-19-32-7 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-04-19-32-8 CTM 214-August 2010 (Verified)
DIME Test ID: 2021-04-19-32-9 CTM 227-December 2014 (Verified)
DIME Test ID: 2021-04-19-32-10 CTM 206-October 2011 (Verified)
