Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-06-11-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213388 DEA: 120N3004 EFIS: 1213000194 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-241-18.3/18.7 |
| Award Date | 09/26/2018 |
| Closeout Date | 12/09/2019 |
| Work Description | RAMP REALIGNMENT, PAVING, AND RE-STRIPING. |
| Location Description | ORANGE COUNTY IN RANCHO SANTA MARGARITA FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF SANTA MARGARITA PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 04/16/2019) |
Sample Information
| Sample Taken Date | 06/11/2019 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/11/2019 |
| Sample type | Per Request | A brief description of the sample | Class 2 AB |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Cuong | Last name of sampler or witnessed by | Do |
| Title of sampler | Unknown | Telephone number of sampler | |
| 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 |
|---|---|---|---|
| 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 | Unknown |
| 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
| 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. | |||