Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-07-13-1
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Project Information
| Project Identifiers | Project ID: 212888 DEA: 07202124 EFIS: 0700020870 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-20.9/24.6 |
| Award Date | 02/16/2018 |
| Closeout Date | 05/04/2022 |
| Work Description | PAVEMENT REHABILITATION AND BRIDGE WIDENING |
| Location Description | LOS 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 Level | 1 (Verified on 03/29/2018) |
Sample Information
| Sample Taken Date | 07/13/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 07/17/2019 |
| Sample type | Per Request | A brief description of the sample | Class 3 Aggregate Base |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Peter | Last name of sampler or witnessed by | Lee |
| Title of sampler | RE | Telephone number of sampler | 562-401-3333 |
| Laboratory sample identification | 8649 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Caltrans | Transportation Laboratory (TL) Number | C904629 |
| 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 | From roadway, Sta 20.9-24.6 |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-07-13-1-4 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-13-1-5 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-07-13-1-6 CTM 301-March 2000 (Verified)