Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-05-22
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Project Information
| Project Identifiers | Project ID: 1000368 DEA: 081J4704 EFIS: 0818000055 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R87.9,R91.0 |
| Award Date | 08/07/2024 |
| Closeout Date | Not set |
| Work Description | PARTIALLY GROUTED RSP, STRUCTURE EXCAVATION AND ROADWAY EXCAVATION. |
| Location Description | RIVERSIDE COUNTY NEAR CHIRIACO SUMMIT AT THREE STAR DITCH BRIDGE AND AT DETERMINATION DITCH BRIDGE |
| QA Service Level | 1 (Verified on 09/02/2024) |
Sample Information
| Sample Taken Date | 11/05/2024 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 11/08/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" RWMA G 0.3% EVO, 0.30% EVO |
| The quantity of what the sample constitutes | 4 BAGS OF COMB AGG,3 BAGS OF(3/4,1/2,3/8),2 BAGS ROCK DUST,2 BAGS OF ROCK1 BAG OFHI-NAT | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Luke | Last name of sampler or witnessed by | Hall |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0608G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Construction Company | 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) | 91-33-0072, Granite Construction Company |
|---|---|---|---|
| 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 | INGEVITY/LHOIST/VALERO/WEST COAST AGG/GRANITE | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 14820 | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||