Sample Record for 2015-04-03-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 209927 DEA: 120M7204 EFIS: 1213000001
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91,405-VAR
Work Description: SEISMIC RETROFIT FOUR (4) BRIDGES.
Location Description: ORANGE COUNTY, IN BUENA PARK, IRVINE AND COSTA MESA AT VARIOUS LOCATIONS.
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: James Yii Structure Rep.: Mohammad Rousta
Sample Information
DIME Sample ID: 2015-04-03-7
TL Number from the TL Form: Unknown
Sample Submitted By Organization: RMA Group - Rancho Cucamonga
Sample Organization Contact: (909) 989-1751
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 04/03/2015
Date that the sample was received by the laboratory/organization performing the testing: 04/03/2015
The quantity of what the sample constitutes: 1
A brief description of the sample: 3/8in PCC Aggregate
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Associated Fountain Valley
Material Information
Source Identification (SMARA, name of Pit or Job Site): Associated Fountain Valley
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: 558037SF
The plant number: Unknown
A detailed description of where the material sample was collected: Belt
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2015-04-03-7-1
Test Method: ASTM C117-13: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing
Submitted By Organization: RMA Group - Rancho Cucamonga
Organization Address: 12130 Santa Margarita Court,
Organization City: Rancho Cucamonga
Organization State: CA
Organization Zipcode: 91730
Organization Email: cbachler@rmacompanies.com
Organization Phone: (909) 989-1751
Data has not been verified.
