Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-22-18
Project Information
Project Identifiers | Project ID: 214671 DEA: 07303904 EFIS: 0714000044 |
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DIST-CO-RTE-PM | 07-LA-10-31.2/37.2 |
Award Date | 11/25/2020 |
Closeout Date | 10/11/2023 |
Work Description | LANE REPLACEMENT |
Location Description | LOS 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 Level | 1 (Verified on 01/21/2021) |
Sample Information
Sample Taken Date | 10/22/2019 | Sample Unique Key | 18 |
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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 | 10/22/2019 |
Sample type | Department Acceptance | A brief description of the sample | Unknown |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Other |
First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 8776 | Linked DIME Sample ID | 2019-10-22-18 |
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | WB 10 SAMPLE 21 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | WB 10 SAMPLE 21 | 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 | WB 10 SAMPLE 21 |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1-1/2 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 |
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2019-10-22-18-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | FRIDAY OFOEGBU, CT D08 - Fontana Southern Regional Laboratory | 11/02/2019 | Jose Mendez | No | Info | ||
2019-10-22-18-2 | CTM 217-June 2011: Method of Test for Sand Equivalent | LARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory | 11/13/2019 | Jose Mendez | No | Info | ||
2019-10-22-18-3 | CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometer | KIET PHAN, CT D08 - Fontana Southern Regional Laboratory | 11/13/2019 | 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: 2019-10-22-18-1 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