Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2013-09-27-7583
Project Information
Project Identifiers | Project ID: 4069 DEA: 07260704 EFIS: 0700000490 |
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DIST-CO-RTE-PM | 07-VEN,SB-101-R39.8/R43.6,0.0/2.2 |
Award Date | 01/03/2012 |
Closeout Date | 08/24/2017 |
Work Description | WIDEN RDWY WITH JPCP OVER LCB, WIDEN BR UC, CONST PED UC & RET WALLS. |
Location Description | VENTURA AND SANTA BARBARA COUNTIES FROM MOBILE PIER UNDER CROSSING TO 0.4 MILE SOUTH OF CASITAS PASS ROAD |
QA Service Level | 1 (Verified on 03/05/2012) |
Sample Information
Sample Taken Date | 09/27/2013 | Sample Unique Key | 7583 |
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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 | 09/27/2013 |
Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
The quantity of what the sample constitutes | 3 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
Title of sampler | Not set | Telephone number of sampler | Not set |
Laboratory sample identification | 3243B | Linked DIME Sample ID | Not set |
The fabricator/manufacturer/facility name | Cemex Moorpark | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 91-56-0014::MOORPARK |
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The fabricator's/manufacturer's product name for the sample | Washed Concrete Sand | The fabricator/manufacturer designation for the sample | Not set |
The plant number | Not set | A detailed description of where the material sample was collected | Conveyer Belt |
Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | fine |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2013-09-27-7583-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2013-09-27-7583-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2013-09-27-7583-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2013-09-27-7583-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2013-09-27-7583-5 CTM 229-June 2011 (Verified)