Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-09-17-20
Project Information
Project Identifiers | Project ID: 214032 DEA: 09378604 EFIS: 0918000080 |
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DIST-CO-RTE-PM | 09-KER-58-R128.9/R135.1 |
Award Date | 05/13/2019 |
Closeout Date | 12/02/2019 |
Work Description | COLD PLANE AC PAVEMENT AND PLACE HMA. |
Location Description | KERN COUNTY NEAR BORON FROM 1.3 MILES EAST OF CALIFORNIA CITY BOULEVARD TO 1.3 MILES WEST OF TWENTY MULE TEAM OVERCROSSING |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 09/17/2019 | Sample Unique Key | 20 |
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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 | 10/25/2019 |
Sample type | Department Acceptance | A brief description of the sample | Coldfeed 3/4" Lime Treated Agg |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tim | Last name of sampler or witnessed by | Reyes |
Title of sampler | QC Supervisor | Telephone number of sampler | |
Laboratory sample identification | 8727 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Little Rock, Granite | Transportation Laboratory (TL) Number | C912442 |
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 | From roard while paving in operation |
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 | 1 |
Sublot number | 9 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |