Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2014-07-30-5304343
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Project Information
| Project Identifiers | Project ID: 7690 DEA: 080M94U4 EFIS: 0812000211 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV,SBD-91,215-21.5/21.7,43.2/45.2,0.0/5.1 |
| Award Date | 12/03/2012 |
| Closeout Date | 03/25/2016 |
| Work Description | CONST RETAINING WALLS, BRIDGES AND WIDEN ROADWAY WITH HMA |
| Location Description | RIVERSIDE AND SAN BERNARDINO COUNTIES ON ROUTE 91 FROM SPRUCE STREET TO 60/91/215 SEPARATION AND ON ROUTE 215 FROM 60/91/215 SEPARATION TO ORANGE SHOW ROAD |
| QA Service Level | 1 (Verified on 10/15/2012) |
Sample Information
| Sample Taken Date | 07/30/2014 | Sample Unique Key | 5304343 |
|---|---|---|---|
| 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 | 07/30/2014 |
| Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Saliba |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 4206B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | None | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| 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 | I 215 Median Sta 18 00 |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||