Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-09-10
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Project Information
| Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
| Award Date | 11/29/2012 |
| Closeout Date | 07/31/2023 |
| Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
| Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
| Sample Taken Date | 11/09/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 11/18/2019 |
| Sample type | Verification | A brief description of the sample | 1" X No. 4 PCC AGGREGATE |
| The quantity of what the sample constitutes | 1 BAG | From where was the sample collected | Manufacturer |
| 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 | 8841 | Linked DIME Sample ID | 2019-11-09-10 |
| The fabricator/manufacturer/facility name | VULCAN BURBANK PORTABLE PLANT | Transportation Laboratory (TL) Number | C913620 |
| 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) | 91-19-0019, 91-19-0021 |
|---|---|---|---|
| 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 | unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1-1/2 inch |
| The concrete mix design number | Unknown | 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 |
|---|---|---|---|---|---|---|---|---|
| 2019-11-09-10-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | JUAN A LEROY, CT D08 - Fontana Southern Regional Laboratory | 11/19/2019 | Jose Mendez | No | Info | ||
| 2019-11-09-10-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | JUAN A LEROY, CT D08 - Fontana Southern Regional Laboratory | 11/19/2019 | Jose Mendez | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-11-09-10-1 CTM 202-November 2011
DIME Test ID: 2019-11-09-10-2 CTM 227-December 2014