Sample Record

Owner Lab

  • CT 08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-06-05-21

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout Date05/04/2022
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date06/05/2019 Sample Unique Key21
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 testing06/05/2019
Sample typeAnnual Source Testing A brief description of the sample3/8" PCC gravels
The quantity of what the sample constitutes12 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification8606 Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnited Rock Products Irwindale Transportation Laboratory (TL) NumberNone
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0015
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.