Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2021-10-04-58
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Project Information
| Project Identifiers | Project ID: 214586 DEA: 081H7704 EFIS: 0817000132 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-4.5/5.8 |
| Award Date | 06/10/2020 |
| Closeout Date | 05/26/2022 |
| Work Description | INSTALL SIGN STRUCTURE, HMA, MODIFY RAMP METERING AND RETAINING WALL. |
| Location Description | SAN BENARDINO COUNTY IN SAN BERNARDINO FROM 0.5 MILE SOUTH OR ORANGE SHOW ROAD/AUTO PLAZA DRIVE OVERCROSSING TO 0.2 MILE NORTH OF INLAND CENTER DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 04/16/2020) |
Sample Information
| Sample Taken Date | 10/04/2021 | Sample Unique Key | 58 |
|---|---|---|---|
| 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 | 10/05/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | RAMY | Last name of sampler or witnessed by | M |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | beta test 01 of 20cy out at 2251 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | cemex fontana | Transportation Laboratory (TL) Number | |
| 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) | 91-36-0068::REDLANDS WASH PLAN (CEMEX) |
|---|---|---|---|
| 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 | At the 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 | 161795 | 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: 2021-10-04-58-1 AASHTO T27-14 (Verified)