Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-02-12-30

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 Key30
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 sampleWashed Concrete Sand
The quantity of what the sample constitutes4 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 identification9371 Linked DIME Sample ID2020-02-12-30
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 Sizefine
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
2020-02-12-30-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFRIDAY OFOEGBU, CT D08 - Fontana Southern Regional Laboratory02/20/2020Jose Mendez
Yes
03/16/2020
2020-02-12-30-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateFRIDAY OFOEGBU, CT D08 - Fontana Southern Regional Laboratory02/21/2020Jose Mendez
Yes
03/16/2020
2020-02-12-30-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSATISH JAIM, CT D08 - Fontana Southern Regional Laboratory02/24/2020Jose Mendez
Yes
03/16/2020
2020-02-12-30-4CTM 217-June 2011: Method of Test for Sand EquivalentSATISH JAIM, CT D08 - Fontana Southern Regional Laboratory02/21/2020Jose Mendez
Yes
03/16/2020
2020-02-12-30-5CTM 229-June 2011: Method of Test for Durability IndexLARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory02/22/2020Jose Mendez
Yes
03/16/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-02-12-30-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-02-12-30-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2020-02-12-30-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2020-02-12-30-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-02-12-30-5 CTM 229-June 2011 (Verified)