Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-12-16-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213689 DEA: 07312504 EFIS: 0715000065 |
---|---|
DIST-CO-RTE-PM | 07-LA-5-R82.5/R86.8 |
Award Date | 01/03/2019 |
Closeout Date | 10/28/2020 |
Work Description | CONSTRUCT STORM WATER TREAMENT BMPS AND DRAINAGE SYSTEM |
Location Description | LOS ANGELES COUNTY IN AND NEAR GORMAN AT VARIOUS LOCATIONS FROM 0.4 MILE NORTH OF ROUTE 5/138 SEPARATION TO 0.6 MILE SOUTH OF TEJON PASS OVERCROSSING |
QA Service Level | 1 (Verified on 03/18/2019) |
Sample Information
Sample Taken Date | 12/16/2019 | Sample Unique Key | 15 |
---|---|---|---|
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 | 12/16/2019 |
Sample type | Acceptance | A brief description of the sample | 1" PCC AGGREGATE |
The quantity of what the sample constitutes | 2 bags | 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 | 8989 | Linked DIME Sample ID | 2019-12-16-15 |
The fabricator/manufacturer/facility name | Robertsons - Palmdale | Transportation Laboratory (TL) Number | C914336 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 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 | unknown |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | RRM 19026 | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2019-12-16-15-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-16-15-2 CTM 227-December 2014 (Verified)