Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-17-17
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-6.0-9.4 |
| Award Date | 09/02/2011 |
| Closeout Date | Not set |
| Work Description | Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing. |
| Location Description | Port of Long Beach (District 7) |
| QA Service Level | 1 (Verified on 06/03/2013) |
Sample Information
| Sample Taken Date | 06/17/2016 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 05/17/2016 |
| Sample type | Annual Source Testing | A brief description of the sample | Three eighths inch PCC Aggregates |
| The quantity of what the sample constitutes | 6 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Osvaldo | Last name of sampler or witnessed by | Guzman |
| Title of sampler | QC Tech | Telephone number of sampler | Unknown |
| Laboratory sample identification | 6177B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Vulcan Reliance | Transportation Laboratory (TL) Number | C-16-107 |
| 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) | SMARA 91 19 0016 |
|---|---|---|---|
| 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 | Unknown | 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: 2016-06-17-17-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2016-06-17-17-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2016-06-17-17-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2016-06-17-17-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2016-06-17-17-5 CTM 227-June 2012 (Verified)
