Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-12-18-16
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Project Information
| Project Identifiers | Project ID: 3825 DEA: 07138204 EFIS: 0700000142 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-47,103-3.5/4.6,0.0/1.1 |
| Award Date | 06/30/2011 |
| Closeout Date | 07/14/2022 |
| Work Description | REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD |
| QA Service Level | 1 (Verified on 03/29/2012) |
Sample Information
| Sample Taken Date | 12/18/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 12/19/2019 |
| Sample type | Department Acceptance | A brief description of the sample | 1" X No. 4 PCC AGGREGATE |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Fabricator |
| 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 | 8923 | Linked DIME Sample ID | 2019-12-18-16 |
| The fabricator/manufacturer/facility name | National Ready Mix Artesia | Transportation Laboratory (TL) Number | C915126 |
| 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 | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-12-18-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-18-16-2 CTM 227-December 2014 (Verified)