Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-12-18-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000860 DEA: 072XL304 EFIS: 0724000159 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,5-14/17 & 35/36 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | LA-010,: Secure the sites, clean-up and remove hazardous mat |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/17/2024) |
Sample Information
| Sample Taken Date | 12/18/2024 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 12/23/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 1/2" HMA-A-SP R25 0.7%LAS |
| The quantity of what the sample constitutes | 4 Bags of comb aggs(1/2,3/8, rock dust, state sand), 2 bags of comb rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jesse | Last name of sampler or witnessed by | Vulcan QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0690A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Irwindale | 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) | 91-19-0035 |
|---|---|---|---|
| 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 | FISH CANYON-IRWINDALE/VULCAN-INWINDALE/MORLIFE/SJR | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | 320200M IRW SJR | 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. | |||