Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-02-20-23
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Project Information
| Project Identifiers | Project ID: 212302 DEA: 080C70U4 EFIS: 0815000189 COOP: 081646 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-210-PM R 25 |
| Award Date | 11/06/2019 |
| Closeout Date | Not set |
| Work Description | The SR 210 Base Line Interchange project, in the City of Highland, includes widening of the Base Line overcrossing at the SR 210, along with additional ramp widening improvements for the northbound on-ramp, northbound off-ramp and southbound on-ramps. |
| Location Description | SR210 Lane Addition work proposes to improve SR 210 within the cities of Highland, Redlands, San Bernardino and unincorporated sections of San Bernardino County, |
| QA Service Level | 2 (Verified on 01/15/2020) |
Sample Information
| Sample Taken Date | 02/20/2020 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 03/17/2020 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 4 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Hindman |
| Title of sampler | QC Rep | Telephone number of sampler | |
| Laboratory sample identification | 9394B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Redlands | Transportation Laboratory (TL) Number | C-20-0003-B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0072::REDLANDS WASH PLAN (ROBERTSON'S READY MIX) |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Robertsons Redlands | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile @ Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2020-02-20-23-7 | CTM 229-June 2011: Method of Test for Durability Index | Nader Rashidi-Ghader, CT D08 - Fontana Southern Regional Laboratory | 03/23/2020 | Nader Rashidi-Ghader | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-02-20-23-7 CTM 229-June 2011