Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-04-03-21
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 04/03/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 04/06/2020 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 12 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Marc | Last name of sampler or witnessed by | Segura |
| Title of sampler | Quality Control | Telephone number of sampler | |
| Laboratory sample identification | 9695 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Plant 4423 | Transportation Laboratory (TL) Number | |
| 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) | 91-36-0106::WHITE MOUNTAIN QUARRY |
|---|---|---|---|
| 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 | Stockpile at Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 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: 2020-04-03-21-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-04-03-21-2 CTM 211-May 2010 (Verified)
DIME Test ID: 2020-04-03-21-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2020-04-03-21-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2020-04-03-21-5 CTM 206-October 2011 (Verified)
DIME Test ID: 2020-04-03-21-6 CTM 211-May 2010 (Verified)