DIME - Sample Record for DIME Sample ID 2019-07-26-16

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-07-26-16

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Project Information

Project Identifiers	Project ID: 212603 DEA: 07304604 EFIS: 0714000073
DIST-CO-RTE-PM	07-LA-105-R0.5/R18.0
Award Date	11/09/2017
Closeout Date	01/28/2021
Work Description	UPGRADE EXISTING TRANSPORTATION MANAGEMENT SYSTEM ELEMENTS.
Location Description	LOS ANGELES COUNTY FROM ROUTE 1/105 SEPARATION IN EL SEGUNDO TO HOXIE AVENUE UNDERCROSSING IN NORWALK
QA Service Level	1 (Verified on 06/18/2019)

Sample Information

Sample Taken Date	07/26/2019	Sample Unique Key	16
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	08/07/2019
Sample type	Annual Source Testing	A brief description of the sample	Washed Concrete Sand
The quantity of what the sample constitutes	1 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Chris	Last name of sampler or witnessed by	Hindman
Title of sampler	Quality Control	Telephone number of sampler	951-493-6500
Laboratory sample identification	8671	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertsons - Cabazon	Transportation Laboratory (TL) Number	C-19-000012
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)	91-33-0008::CABAZON QUARRY
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 at 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

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-07-26-16-9	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Sebastian Ferrer, CT D08 - Fontana Southern Regional Laboratory	08/22/2019	Nader Rashidi-Ghader	Yes	09/05/2019
2019-07-26-16-10	CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine Aggregate	Nader Rashidi-Ghader, CT D08 - Fontana Southern Regional Laboratory	08/23/2019	Nader Rashidi-Ghader	Yes	09/05/2019
2019-07-26-16-11	CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	08/23/2019	Nader Rashidi-Ghader	Yes	09/05/2019
2019-07-26-16-12	CTM 217-June 2011: Method of Test for Sand Equivalent	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	08/23/2019	Nader Rashidi-Ghader	Yes	09/05/2019
2019-07-26-16-13	CTM 229-June 2011: Method of Test for Durability Index	Kiet Phan, CT D08 - Fontana Southern Regional Laboratory	08/28/2019	Nader Rashidi-Ghader	Yes	09/05/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-07-26-16-9 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-26-16-10 CTM 207-March 2012 (Verified)
DIME Test ID: 2019-07-26-16-11 CTM 213-December 2012 (Verified)
DIME Test ID: 2019-07-26-16-12 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-07-26-16-13 CTM 229-June 2011 (Verified)