Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-12-20-16
Project Information
Project Identifiers | Project ID: 209139 DEA: 071170U4 EFIS: 0700000085 |
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DIST-CO-RTE-PM | 07-LA-10-33.2/37.2 |
Award Date | 02/10/2014 |
Closeout Date | 03/01/2022 |
Work Description | CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS. |
Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 05/06/2014) |
Sample Information
Sample Taken Date | 12/20/2019 | Sample Unique Key | 16 |
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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 | 12/27/2019 |
Sample type | Department Acceptance | A brief description of the sample | 3/8" PCC AGGREGATE |
The quantity of what the sample constitutes | 1 bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | GERADO | Last name of sampler or witnessed by | Zubieta |
Title of sampler | TE CIVIL | Telephone number of sampler | |
Laboratory sample identification | 9069 | Linked DIME Sample ID | 2019-12-19-16 |
The fabricator/manufacturer/facility name | ROBERTSON IRWINDALE | Transportation Laboratory (TL) Number | C923412 |
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 | unknown |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | 16015 | Lot number | Unknown |
Sublot number | Unknown | Aggregate Mix Number | Not set |
Combined Gradation Report Information
Combined Gradation Report Id | Bin Index | Dime Test Id |
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No assigned tests for this sample. |
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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2019-12-20-16-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | LARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory | 12/31/2019 | Jose Mendez | No | Info | ||
2019-12-20-16-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory | 01/03/2020 | Jose Mendez | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-12-20-16-1 CTM 202-November 2011
DIME Test ID: 2019-12-20-16-2 CTM 227-December 2014