Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-02-12-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214221
DEA: 081F1424
EFIS: 0815000232
DIST-CO-RTE-PM08-RIV-15-23.9/33.4
Award Date09/05/2019
Closeout Date03/01/2022
Work DescriptionREPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/04/2019)

Sample Information

Sample Taken Date02/12/2020 Sample Unique Key28
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 testing02/13/2020
Sample typeAggregate Prequalification Program A brief description of the sample1.0" PCC AGGREGATE
The quantity of what the sample constitutes10 BAGS From where was the sample collectedSource
First name of sampler or witnessed byMILAD Last name of sampler or witnessed byWARDE
Title of sampler Telephone number of sampler951-232-7608
Laboratory sample identification9369 Linked DIME Sample ID2020-02-12-28
The fabricator/manufacturer/facility namePACIFIC AGGREGATE LAKE ELSINOR Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0073: PACIFIC AGGREGATE
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 collectedStockpile @ Plant
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
2020-02-12-28-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesEDMOUND JABBOUR, CT D08 - Fontana Southern Regional Laboratory02/19/2020Jose Mendez
Yes
03/16/2020
2020-02-12-28-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory02/20/2020Jose Mendez
Yes
03/16/2020
2020-02-12-28-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory02/22/2020Jose Mendez
Yes
03/16/2020
2020-02-12-28-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNADER RASHIDI, CT D08 - Fontana Southern Regional Laboratory03/04/2020Jose Mendez
Yes
03/16/2020
2020-02-12-28-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory02/19/2020Jose Mendez
Yes
03/16/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-02-12-28-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-02-12-28-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2020-02-12-28-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2020-02-12-28-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2020-02-12-28-5 CTM 227-December 2014 (Verified)