Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-01-23-7

Project Information

Project IdentifiersProject ID: 212910
DEA: 080K2914
EFIS: 0812000098
DIST-CO-RTE-PM08-SBD-10-30.9/33.3
Award Date03/06/2018
Closeout Date09/04/2019
Work DescriptionLANE REPLACEMENT
Location DescriptionSAN BERNARDINO COUNTY IN REDLANDS FROM ORANGE STREET UNDERCROSSING TO REDLANDS BLVD OFF-RAMP UNDERCROSSING
QA Service Level1 (Verified on 05/02/2018)

Sample Information

Sample Taken Date01/23/2019 Sample Unique Key7
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 testing02/05/2019
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byEdwin Last name of sampler or witnessed byEdles
Title of samplerTE Telephone number of sampler9512783698
Laboratory sample identification8493 Linked DIME Sample ID
The fabricator/manufacturer/facility namecaltrans Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0033::PALMDALE
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 collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot number1
Sublot number1 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments