Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-05-30-15
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076 |
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DIST-CO-RTE-PM | 12-ORA-133-3.2/R4.1 |
Award Date | 02/23/2021 |
Closeout Date | Not set |
Work Description | ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK. |
Location Description | ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION |
QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
Sample Taken Date | 05/30/2019 | Sample Unique Key | 15 |
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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 | 05/30/2019 |
Sample type | Per Request | A brief description of the sample | Subgrade, Sample # MB-3 |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Kambiz | Last name of sampler or witnessed by | Zanjani |
Title of sampler | TE | Telephone number of sampler | 657-328-6238 |
Laboratory sample identification | 8603 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Caltrans | Transportation Laboratory (TL) Number | C936702 |
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 | SR 133 SB PM 3.1 to R4.1 |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 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: 2019-05-30-15-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-05-30-15-7 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-05-30-15-8 CTM 212-May 2010 (Verified)
DIME Test ID: 2019-05-30-15-10 CTM 226-July 2010 (Verified)
DIME Test ID: 2019-05-30-15-11 CTM 301-March 2000 (Verified)
DIME Test ID: 2019-05-30-15-13 CTM 204-June 2010 (Verified)