Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-11-25-46

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date11/25/2019 Sample Unique Key46
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 testing12/01/2019
Sample typeAcceptance A brief description of the sample1 1/2 PCC AGG
The quantity of what the sample constitutes1 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byG Last name of sampler or witnessed byZubieta
Title of samplerTE Civil Telephone number of sampler
Laboratory sample identification8949 Linked DIME Sample ID2019-11-25-46
The fabricator/manufacturer/facility nameROBERTSON IRWINDALE Transportation Laboratory (TL) NumberC923704
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design numberSC270N31 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-11-25-46-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD MONTEMAYOR, CT D08 - Fontana Southern Regional Laboratory12/04/2019Jose Mendez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-11-25-46-1 CTM 202-November 2011