Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-05-10-19
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213551 DEA: 080K2934 EFIS: 0812000100 |
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DIST-CO-RTE-PM | 08-SBD-10-R36.8/R39.2 |
Award Date | 11/09/2018 |
Closeout Date | 09/15/2021 |
Work Description | PAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT |
Location Description | SAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
Sample Taken Date | 05/10/2019 | Sample Unique Key | 19 |
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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 | 05/10/2019 |
Sample type | Per Request | A brief description of the sample | Aggregate Subbase |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ezz | Last name of sampler or witnessed by | Gayed |
Title of sampler | Telephone number of sampler | (909) 830-6954 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Caltrans | 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) | Unknown |
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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 | Exisiting Subbase |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 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: 2019-05-10-19-7 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-05-10-19-8 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-05-10-19-9 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-05-10-19-11 CTM 204-June 2010 (Verified)
DIME Test ID: 2019-05-10-19-12 CTM 301-March 2000 (Verified)