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 Identifiers | Project ID: 213741 DEA: 07325704 EFIS: 0716000089 |
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DIST-CO-RTE-PM | 07-LA-5-1.7 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | BUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE. |
Location Description | Santa Fe Springs, At 14044 Freeway Drive. |
QA Service Level | 1 (Verified on 07/08/2019) |
Sample Information
Sample Taken Date | 12/19/2019 | Sample Unique Key | 25 |
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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 | 12/23/2019 |
Sample type | Acceptance | A brief description of the sample | 1.0" PCC AGG |
The quantity of what the sample constitutes | 1 BAG | From where was the sample collected | Distributor |
First name of sampler or witnessed by | ZAID | Last name of sampler or witnessed by | Abdelkhaliq |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 9043 | Linked DIME Sample ID | 2019-12-19-25 |
The fabricator/manufacturer/facility name | ROBERTSON 10 | Transportation Laboratory (TL) Number | C07-ZA03 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | BUILDING FOUNDATIN FOOTING | 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 | Belt Cut at SECURITY PAVING LA MIRADA |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | 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: 2019-12-19-25-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-19-25-2 CTM 227-December 2014 (Verified)