Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-04-04-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
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DIST-CO-RTE-PM | 07-LA-10-37.2/42.4 |
Award Date | 11/16/2015 |
Closeout Date | 07/11/2022 |
Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
Location Description | IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA |
QA Service Level | 1 (Verified on 03/07/2016) |
Sample Information
Sample Taken Date | 04/04/2019 | Sample Unique Key | 15 |
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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 | 04/04/2019 |
Sample type | Annual Source Testing | A brief description of the sample | 3/8" PCC Aggregates |
The quantity of what the sample constitutes | 5 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Kameron | Last name of sampler or witnessed by | Moinian |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Holliday Rock Upland | 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) | 91-36-0006::FOOTHILL QUARRY AND PLANT |
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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 | 3/8 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-04-04-15-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-04-04-15-7 CTM 206-October 2011 (Verified)
DIME Test ID: 2019-04-04-15-8 CTM 211-May 2010 (Verified)
DIME Test ID: 2019-04-04-15-9 CTM 214-August 2010 (Verified)
DIME Test ID: 2019-04-04-15-10 CTM 227-December 2014 (Verified)