Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-12-30-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date12/30/2019 Sample Unique Key16
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 testing12/31/2019
Sample typeAcceptance A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes1 BUCKET From where was the sample collectedDistributor
First name of sampler or witnessed byMD Last name of sampler or witnessed byShahjahan
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9077 Linked DIME Sample ID2019-12-30-16
The fabricator/manufacturer/facility nameVULCAN SUN VALLEY Transportation Laboratory (TL) NumberC91437
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)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 collectedunknown
Where the material sample would have been placed if not sampledRTE 5 SBB EMPIRE PHASE 4 Primary Aggregate Nominal Sizefine
The concrete mix design numberS72017 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-30-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLARRY DIAZCT D08 - Fontana Southern Regional Laboratory01/03/2020Jose Mendez
Yes
03/20/2020
2019-12-30-16-2CTM 217-June 2011: Method of Test for Sand EquivalentDANILLO FERRERCT D08 - Fontana Southern Regional Laboratory01/07/2020Jose Mendez
Yes
03/20/2020
2019-12-30-16-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingLARRY DIAZCT D08 - Fontana Southern Regional Laboratory01/03/2020Jose Mendez
Yes
03/20/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-30-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-12-30-16-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-12-30-16-3 CTM 226-July 2010 (Verified)