Sample Record for 2019-01-22-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 209695 DEA: 08347704 EFIS: 0800000616
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: KIEWIT INFRASTRUCTURE WEST CO.
Contractor Address: 2215 E 1ST STREET, VANCOUVER, WA 98661
Resident Engineer: Shaine Shahidi Structure Rep.: Osama Abdalla
Sample Information
DIME Sample ID: 2019-01-22-6
TL Number from the TL Form:
Sample Submitted By Organization: Vulcan Materials Company - Irwindale
Sample Organization Contact: (323) 833-8388
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 01/22/2019
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 8, 40 pound bags
A brief description of the sample: 3/4 CR as 1x4
From where was the sample collected: Source
Laboratory sample identification: 8464
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan San Bernardino
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-36-0137::CAJON CREEK
The fabricator's/manufacturer's product name for the sample: 3/4 CR as 1x4
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: from the shipping face of the WCS stockpile at Vulcan Materials Company San Bernardino plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
