Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-12-20-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout Date08/01/2023
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date12/20/2019 Sample Unique Key21
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 testing12/23/2019
Sample typeAcceptance A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byzaid Last name of sampler or witnessed byAbdelkhaliq
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification9052 Linked DIME Sample ID2019-12-20-21
The fabricator/manufacturer/facility nameSECURITY PAVING PORTABLE PLANT- LA MIRADA Transportation Laboratory (TL) NumberC07-Za-5
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 collectedBELT CUT
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberG3-19PCC-001 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-20-21-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory12/29/2019Jose Mendez
Yes
03/09/2020
2019-12-20-21-2CTM 217-June 2011: Method of Test for Sand EquivalentHUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory12/30/2019Jose Mendez
Yes
03/09/2020
2019-12-20-21-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory03/29/2020Jose Mendez
Yes
03/09/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-20-21-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-20-21-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-12-20-21-3 CTM 226-July 2010 (Verified)