Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-12-20
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Project Information
| Project Identifiers | Project ID: 212827 DEA: 07296404 EFIS: 0713000031 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,10,60-16.1/17.0,18.1/18.4,0.4/R1.0 |
| Award Date | 01/18/2018 |
| Closeout Date | 09/03/2020 |
| Work Description | PLACE ROCK BLANKET, MINOR CONCRETE, AND WEED CONTROL MAT. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM EUCLID AVENUE UNDERCROSSING TO SEVENTH STREET OVERCROSSING AND ON ROUTE 10 FROM LA RIVER TO ROUTE 5 AND ON ROUTE 60 FROM SOTO STREET UNDERCROSSING TO EAST OF EUCLID AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/14/2019) |
Sample Information
| Sample Taken Date | 11/12/2019 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 11/19/2019 |
| Sample type | Verification | A brief description of the sample | 1" X No. 4 PCC |
| The quantity of what the sample constitutes | 2 Buckets | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | MD | Last name of sampler or witnessed by | Shahjahan |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 8844 | Linked DIME Sample ID | 2019-11-12-20 |
| The fabricator/manufacturer/facility name | ASSOCIATED RMC, LA | Transportation Laboratory (TL) Number | C913623 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| 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 | RTE 101 TO SB 5 BARRIER WALL |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | 556300 | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2019-11-12-20-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | SEBASTIAN FERRER, CT D08 - Fontana Southern Regional Laboratory | 11/20/2019 | Jose Mendez | No | Info | ||
| 2019-11-12-20-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | EDMOND JABBOUR, CT D08 - Fontana Southern Regional Laboratory | 11/20/2019 | Jose Mendez | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-11-12-20-1 CTM 202-November 2011
DIME Test ID: 2019-11-12-20-2 CTM 227-December 2014