Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2014-10-24-7
Project Information
| Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
| Award Date | 02/10/2014 |
| Closeout Date | 03/01/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/06/2014) |
Sample Information
| Sample Taken Date | 10/24/2014 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 11/13/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | Three eighths inch PCC Aggregates |
| The quantity of what the sample constitutes | 5 Bags | From where was the sample collected | Other |
| 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 | 4307B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Robertsons Harlow Quarry | Transportation Laboratory (TL) Number | C 14 000022 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA 91-33-0061 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-10-24-7-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2014-10-24-7-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2014-10-24-7-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2014-10-24-7-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2014-10-24-7-5 CTM 227-June 2012 (Verified)
