DIME - Sample Record for DIME Sample ID 2019-03-25-21

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-03-25-21

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Project Information

Project Identifiers	Project ID: 213738 DEA: 07303504 EFIS: 0714000007
DIST-CO-RTE-PM	07-VEN-23-0.0/R3.3
Award Date	01/09/2019
Closeout Date	11/02/2020
Work Description	COLD PLANE & OVERLAY ASPHALT CONCRETE PAVEMENT AND UPGRADE CURB RAMPS.
Location Description	VENTURA COUNTY IN THOUSAND OAKS FROM CARLISLE ROAD TO ROUTE 101
QA Service Level	1 (Verified on 11/02/2020)

Sample Information

Sample Taken Date	03/25/2019	Sample Unique Key	21
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	04/03/2019
Sample type	Annual Source Testing	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Source
First name of sampler or witnessed by	Harrison	Last name of sampler or witnessed by	Kain
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID	2019-03-25-20
The fabricator/manufacturer/facility name	Cemex Moorpark	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Stockpile @ Plant
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	fine
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-03-25-21-6	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Danny Ferrer, CT D08 - Fontana Southern Regional Laboratory	04/05/2019	Nader Rashidi-Ghader	Yes	04/30/2019
2019-03-25-21-7	CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate	Danny Ferrer, CT D08 - Fontana Southern Regional Laboratory	04/09/2019	Nader Rashidi-Ghader	Yes	04/30/2019
2019-03-25-21-8	CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand	Satish jain, CT D08 - Fontana Southern Regional Laboratory	04/09/2019	Nader Rashidi-Ghader	Yes	04/30/2019
2019-03-25-21-9	CTM 217-June 2011: Method of Test for Sand Equivalent	Larry diaz, CT D08 - Fontana Southern Regional Laboratory	04/09/2019	Nader Rashidi-Ghader	Yes	04/30/2019
2019-03-25-21-10	CTM 229-June 2011: Method of Test for Durability Index	Danny Ferrer, CT D08 - Fontana Southern Regional Laboratory	04/08/2019	Nader Rashidi-Ghader	Yes	04/30/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-03-25-21-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-03-25-21-7 CTM 207-March 2012 (Verified)
DIME Test ID: 2019-03-25-21-8 CTM 213-December 2012 (Verified)
DIME Test ID: 2019-03-25-21-9 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-03-25-21-10 CTM 229-June 2011 (Verified)