Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-12-19-25

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213741
DEA: 07325704
EFIS: 0716000089
DIST-CO-RTE-PM07-LA-5-1.7
Award DateNot set
Closeout DateNot set
Work DescriptionBUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE.
Location DescriptionSanta Fe Springs, At 14044 Freeway Drive.
QA Service Level1 (Verified on 07/08/2019)

Sample Information

Sample Taken Date12/19/2019 Sample Unique Key25
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 testing12/23/2019
Sample typeAcceptance A brief description of the sample1.0" PCC AGG
The quantity of what the sample constitutes1 BAG From where was the sample collectedDistributor
First name of sampler or witnessed byZAID Last name of sampler or witnessed byAbdelkhaliq
Title of samplerTET Telephone number of sampler
Laboratory sample identification9043 Linked DIME Sample ID2019-12-19-25
The fabricator/manufacturer/facility nameROBERTSON 10 Transportation Laboratory (TL) NumberC07-ZA03
Inspector Lot Number from the Transportation Laboratory (TL) FormBUILDING FOUNDATIN FOOTING 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 collectedBelt Cut at SECURITY PAVING LA MIRADA
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 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
2019-12-19-25-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory12/26/2019Jose Mendez
Yes
03/13/2020
2019-12-19-25-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory12/27/2019Jose Mendez
Yes
03/13/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-19-25-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-19-25-2 CTM 227-December 2014 (Verified)