Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-07-09-32
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 07/09/2021 | Sample Unique Key | 32 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/17/2021 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 Buckets | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nicole | Last name of sampler or witnessed by | Berkovatz |
| Title of sampler | QC Tech | Telephone number of sampler | 6613169606 |
| Laboratory sample identification | 1166756822 | Linked DIME Sample ID | 2021-07-09-24 |
| The fabricator/manufacturer/facility name | Lee Vining Plant | Transportation Laboratory (TL) Number | 4651 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-26-0029::LEE VINNING |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 100212 | 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: 2021-07-09-32-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-07-09-32-7 CTM 207-March 2012 (Verified)
DIME Test ID: 2021-07-09-32-8 CTM 213-December 2012 (Verified)
DIME Test ID: 2021-07-09-32-9 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-07-09-32-10 CTM 229-June 2011 (Verified)