Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-11-26-19

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout Date05/04/2022
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS 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 Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date11/26/2019 Sample Unique Key19
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 testing12/02/2019
Sample typeAcceptance A brief description of the sample3/8" PCC AGG
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byJOHN Last name of sampler or witnessed byWARRICK
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8940 Linked DIME Sample ID2019-11-26-19
The fabricator/manufacturer/facility nameNATIONAL READY MIXED CONCRETE VERNON PLANT Transportation Laboratory (TL) NumberC
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)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 collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberS60053 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-11-26-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSEBASTIAN FERRER, CT D08 - Fontana Southern Regional Laboratory12/02/2019Jose Mendez
No
Info
2019-11-26-19-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)JUAN A LEROY, CT D08 - Fontana Southern Regional Laboratory12/03/2019Jose Mendez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-11-26-19-1 CTM 202-November 2011
DIME Test ID: 2019-11-26-19-2 CTM 227-December 2014