Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-10-08-6
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Project Information
| Project Identifiers | Project ID: 209019 DEA: 071952U4 EFIS: 0700000201 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-23,101-3.3/3.8,R0.1/R4.5 |
| Award Date | 11/21/2013 |
| Closeout Date | 06/25/2019 |
| Work Description | WIDEN FREEWAY AND RAMPS AND RECONSTRUCT MEDIAN. |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS ON ROUTE 101 FROM 0.6 MILE SOUTH OF WESTLAKE BOULEVARD OVERCROSSING TO 0.4 MILE NORTH OF MOORPARK ROAD UNDERCROSSING AND ON ROUTE 23 FROM ROUTE 101 TO 0.1 MILE NORTH OF HILLCREST DRIVE UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/13/2013) |
Sample Information
| Sample Taken Date | 10/08/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/22/2015 |
| Sample type | Annual Source Testing | A brief description of the sample | One inch PCC Aggregates |
| The quantity of what the sample constitutes | 8 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Turner |
| Title of sampler | Quality Control Supervisor | Telephone number of sampler | Unknown |
| Laboratory sample identification | 5262B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex Azusa Quarry | 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) | SMARA 91 19 0007 |
|---|---|---|---|
| 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 | Stockpile at Cemex Azusa Quarry |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 2015-10-08-6-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Ali Rehman, CT D08 - Fontana Southern Regional Laboratory | 10/29/2015 | Charles Mcdonald | No | Info | ||
| 2015-10-08-6-2 | CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate | Farzin Farah, CT D08 - Fontana Southern Regional Laboratory | 11/04/2015 | Charles Mcdonald | No | Info | ||
| 2015-10-08-6-3 | CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine | Nader Rashidi, CT D08 - Fontana Southern Regional Laboratory | 11/04/2015 | Charles Mcdonald | No | Info | ||
| 2015-10-08-6-4 | CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Nemencio Daof, CT D08 - Fontana Southern Regional Laboratory | 11/09/2015 | Charles Mcdonald | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-10-08-6-1 CTM 202-November 2011
DIME Test ID: 2015-10-08-6-2 CTM 206-October 2011
DIME Test ID: 2015-10-08-6-3 CTM 211-May 2010
DIME Test ID: 2015-10-08-6-4 CTM 227-June 2012