Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-12-09-14
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Project Information
| Project Identifiers | Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-37.2/42.4 |
| Award Date | 11/16/2015 |
| Closeout Date | 07/11/2022 |
| Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
| Location Description | IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA |
| QA Service Level | 1 (Verified on 03/07/2016) |
Sample Information
| Sample Taken Date | 12/09/2019 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 12/17/2019 |
| Sample type | Department Acceptance | A brief description of the sample | 3/8 " PCC AGGREGATE |
| The quantity of what the sample constitutes | 1 BAG | From where was the sample collected | Source |
| First name of sampler or witnessed by | HONESTO | Last name of sampler or witnessed by | CASTILLO |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 8994 | Linked DIME Sample ID | 2019-12-09-14 |
| The fabricator/manufacturer/facility name | HOLIDAY ROCK upland | Transportation Laboratory (TL) Number | C914414 |
| 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 |
|---|---|---|---|
| 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 | unknown |
| Where the material sample would have been placed if not sampled | RW 2053 STEM | 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 | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2019-12-09-14-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | D. MONTEMOYOR, CT D08 - Fontana Southern Regional Laboratory | 12/19/2019 | Jose Mendez | No | Info | ||
| 2019-12-09-14-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory | 12/21/2019 | Jose Mendez | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-09-14-1 CTM 202-November 2011
DIME Test ID: 2019-12-09-14-2 CTM 227-December 2014