Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-24-59
Project Information
Project Identifiers | Project ID: 994968 DEA: 120M82C4 EFIS: 1219000036 |
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DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5 |
Award Date | 01/02/2023 |
Closeout Date | Not set |
Work Description | Place RHMA-G and minor concrete and modify electrical system. |
Location Description | In Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit |
QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
Sample Taken Date | 09/24/2024 | Sample Unique Key | 59 |
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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 | 09/26/2024 |
Sample type | Verification | A brief description of the sample | 3/4'' RHMA G SP 0.75% LAS |
The quantity of what the sample constitutes | 4Bags,CMB Agg(3/4.1/2,3/8, man sand),1bag HI-NAT,1Bag Crum | From where was the sample collected | Source |
First name of sampler or witnessed by | DAVID | Last name of sampler or witnessed by | Nguyen |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Blue Diamond Materials | Transportation Laboratory (TL) Number | |
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) | SMARA # 91-19-0052 |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | A detailed description of where the material sample was collected | blue diamond-Irwindale | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |