Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-05-04-12
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 209899 DEA: 07242304 EFIS: 0700000419 COOP: 075002 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-31.6/32.2 |
| Award Date | Not set |
| Closeout Date | 08/13/2018 |
| Work Description | Lost Hills Road Overcrossing Replacement and Interchange Modification |
| Location Description | FROM 0.3 MILES SOUTH OF LOST HILLS ROAD OVERCROSSING TO 0.3 MILES NORTH OF LOST HILLS ROAD OVERCROSSING. |
| QA Service Level | 2 (Verified on 08/04/2014) |
Sample Information
| Sample Taken Date | 05/04/2016 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 05/13/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Gary | Last name of sampler or witnessed by | Becker |
| Title of sampler | Technical Services Specialist | Telephone number of sampler | Unknown |
| Laboratory sample identification | 6170B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | National Ready Mix | Transportation Laboratory (TL) Number | C 16 01 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | 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) | Grimes Rock SMARA 91 56 0032 |
|---|---|---|---|
| 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 | National Ready Mix Stockpiles |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| 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: 2016-05-04-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2016-05-04-12-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2016-05-04-12-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2016-05-04-12-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2016-05-04-12-5 CTM 229-June 2011 (Verified)
