Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-05-03-31
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Project Information
| Project Identifiers | Project ID: 214885 DEA: 080K1234 EFIS: 0815000242 |
|---|---|
| DIST-CO-RTE-PM | 08--- |
| Award Date | 06/03/2020 |
| Closeout Date | 04/08/2022 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 05/03/2021 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 03/29/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | 1.5" PCC Aggregates |
| The quantity of what the sample constitutes | 4 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 Lucern Quarry | Transportation Laboratory (TL) Number | 3939 Retest |
| 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) | 91-36-0116 |
|---|---|---|---|
| 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: 2021-05-03-31-6 CTM 202-November 2011
DIME Test ID: 2021-05-03-31-7 CTM 206-October 2011 (Verified)
DIME Test ID: 2021-05-03-31-8 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-05-03-31-9 CTM 214-August 2010 (Verified)
DIME Test ID: 2021-05-03-31-10 CTM 227-December 2014 (Verified)
DIME Test ID: 2021-05-03-31-11 CTM 202-November 2011 (Verified)