Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2014-08-20-27
Project Information
Project Identifiers | Project ID: 209242 DEA: 080P3104 EFIS: 0800001017 |
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DIST-CO-RTE-PM | 08-SBD-395-16.2 |
Award Date | 02/20/2014 |
Closeout Date | 06/19/2015 |
Work Description | INSTALL TRAFFIC SIGNAL, INTERCONNECT, RAMP METER, AND LIGHTING |
Location Description | SAN BERNARDINO COUNTY, IN ADELANTO, AT THE INTERSECTION OF STATE ROUTE 395 AND BARTLETT ROAD |
QA Service Level | 1 (Verified on 04/16/2014) |
Sample Information
Sample Taken Date | 08/20/2014 | Sample Unique Key | 27 |
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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 | 08/20/2014 |
Sample type | Annual Source Testing | A brief description of the sample | Three eighths inch 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 | Tom | Last name of sampler or witnessed by | Milum |
Title of sampler | QC Technician | Telephone number of sampler | Unknown |
Laboratory sample identification | 4238B | Linked DIME Sample ID | 0 |
The fabricator/manufacturer/facility name | Roberts Lucern Valley | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA 91 36 0116 |
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The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
The plant number | Unknown | A detailed description of where the material sample was collected | Stockpiles |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2014-08-20-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2014-08-20-27-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2014-08-20-27-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2014-08-20-27-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2014-08-20-27-5 CTM 227-June 2012 (Verified)