Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-04-16-12
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Project Information
| Project Identifiers | Project ID: 214326 DEA: 07310404 EFIS: 0715000001 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-138-0.0/36.9 |
| Award Date | 10/17/2019 |
| Closeout Date | 03/29/2024 |
| Work Description | PLACE HOT MIX ASPHALT AND COLD PLANE ASPHALT CONCRETE PAVEMENT. (EPD Pilot Project) |
| Location Description | LOS ANGELES COUNTY FROM ROUTE 5/138 SEPARATION TO ROUTE 138/14 SEPARATION |
| QA Service Level | 1 (Verified on 10/29/2019) |
Sample Information
| Sample Taken Date | 04/16/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 04/20/2020 |
| Sample type | Verification | A brief description of the sample | Cold Feed 3/4" AC Aggregate |
| The quantity of what the sample constitutes | 763 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Lucas |
| Title of sampler | Granite QC | Telephone number of sampler | |
| Laboratory sample identification | 9848 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite HMA, Littlerock | Transportation Laboratory (TL) Number | 041620B |
| 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) | 91-19-0008::LITTLEROCK |
|---|---|---|---|
| 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 |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-16-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-04-16-12-2 CTM 217-June 2011 (Verified)