Sample Record for 2021-04-22-36
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214663 DEA: 081F7304 EFIS: 0815000034
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-2.7
Work Description: REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location Description: SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Shaine Shahidi Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2021-04-22-36
TL Number from the TL Form: 3913
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 04/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2021
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex-Moorpark Quarry
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2021-04-22-36-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 05/21/2021 | Not scheduled | Nader Rashidi-Ghader | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-04-22-36-2 | CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate | 05/21/2021 | Not scheduled | Nader Rashidi-Ghader | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-04-22-36-3 | CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand | 05/21/2021 | Not scheduled | Nader Rashidi-Ghader | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-04-22-36-4 | CTM 217-June 2011: Method of Test for Sand Equivalent | 05/21/2021 | Not scheduled | Nader Rashidi-Ghader | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-04-22-36-5 | CTM 229-June 2011: Method of Test for Durability Index | 05/21/2021 | Not scheduled | Nader Rashidi-Ghader | CT D08 - Fontana Southern Regional Laboratory | | |
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