Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-11-12-20

Project Information

Project IdentifiersProject ID: 212827
DEA: 07296404
EFIS: 0713000031
DIST-CO-RTE-PM07-LA-5,10,60-16.1/17.0,18.1/18.4,0.4/R1.0
Award Date01/18/2018
Closeout Date09/03/2020
Work DescriptionPLACE ROCK BLANKET, MINOR CONCRETE, AND WEED CONTROL MAT.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM EUCLID AVENUE UNDERCROSSING TO SEVENTH STREET OVERCROSSING AND ON ROUTE 10 FROM LA RIVER TO ROUTE 5 AND ON ROUTE 60 FROM SOTO STREET UNDERCROSSING TO EAST OF EUCLID AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/14/2019)

Sample Information

Sample Taken Date11/12/2019 Sample Unique Key20
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 testing11/19/2019
Sample typeVerification A brief description of the sample1" X No. 4 PCC
The quantity of what the sample constitutes2 Buckets From where was the sample collectedDistributor
First name of sampler or witnessed byMD Last name of sampler or witnessed byShahjahan
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8844 Linked DIME Sample ID2019-11-12-20
The fabricator/manufacturer/facility nameASSOCIATED RMC, LA Transportation Laboratory (TL) NumberC913623
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)Unknown
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 collectedRTE 101 TO SB 5 BARRIER WALL
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design number556300 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-11-12-20-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSEBASTIAN FERRERCT D08 - Fontana Southern Regional Laboratory11/20/2019Jose Mendez
No
Info
2019-11-12-20-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)EDMOND JABBOURCT D08 - Fontana Southern Regional Laboratory11/20/2019Jose Mendez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-11-12-20-1 CTM 202-November 2011
DIME Test ID: 2019-11-12-20-2 CTM 227-December 2014