Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-10-22-18

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Sample Information

Sample Taken Date10/22/2019 Sample Unique Key18
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 testing10/22/2019
Sample typeDepartment Acceptance A brief description of the sampleUnknown
The quantity of what the sample constitutes1 From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of sampler Telephone number of sampler
Laboratory sample identification8776 Linked DIME Sample ID2019-10-22-18
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberWB 10 SAMPLE 21
Inspector Lot Number from the Transportation Laboratory (TL) FormWB 10 SAMPLE 21 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 collectedWB 10 SAMPLE 21
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-10-22-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFRIDAY OFOEGBU, CT D08 - Fontana Southern Regional Laboratory11/02/2019Jose Mendez
No
Info
2019-10-22-18-2CTM 217-June 2011: Method of Test for Sand EquivalentLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory11/13/2019Jose Mendez
No
Info
2019-10-22-18-3CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerKIET PHAN, CT D08 - Fontana Southern Regional Laboratory11/13/2019Jose Mendez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-10-22-18-1 CTM 202-November 2011
DIME Test ID: 2019-10-22-18-2 CTM 217-June 2011
DIME Test ID: 2019-10-22-18-3 CTM 301-March 2000